Jennifer Packing-Ebuen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME118201 Issued in FL

Practice address

426W Brandon Blvd
Brandon, FL 33511-5002

Phone

(813) 681-4444

Fax

(813) 661-8763

NPI assigned

Nov 7, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1457780637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115002",
            "telephone_number": "813-681-4444",
            "fax_number": "813-661-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115002",
            "telephone_number": "813-681-4444",
            "fax_number": "813-661-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKING-EBUEN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME118201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifer Ownby, M.E., C.C.C.
• Rachel Owsiak, M.D.
• Erika Pabon, MSW
• Hector Serafin Pabon, M.D.
• Jocelyn Pace
• Bharat Gokaldas Padalia, M.D.
• Patricia Marie Paddock, BC-HIS
• Christian Tyler Padgett
• Shelli Fain Pafford, MS/CCC-SLP
• Merilee Paga

• Family Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.