Jaws Podiatry, Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

JAWS PODIATRY, INC.

Practice address

3700 Washington St Ste 403
Hollywood, FL 33021-8249

Phone

(954) 922-7333

Fax

(954) 248-6925

NPI assigned

Dec 16, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer WagnerNPI 1609980093

Title

Owner

Phone

(954) 922-7333

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer R Wagner, PA-C

  • Physician Assistant
  • Miami, FL
  • NPI 1609980093
  NPD Authorized official

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1487983656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 403",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218249",
            "telephone_number": "954-922-7333",
            "fax_number": "954-248-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 403",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218249",
            "telephone_number": "954-922-7333",
            "fax_number": "954-248-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAWS PODIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-922-7333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savi Jessica Jassan, CERTIFICATES
• Christine Jassir, ARNP
• David Jassir, M.D.
• Khurram Javed, MD
• Luzairis Javier Guerrero
• Jay S Mendelsohn MD PA
• Jay S. Chandar, MD, PA
• Kaimal Anitha Jayakumar, M.D.
• Jaylorin Group Inc
• JC Penney Corporation Inc

• Foot & Ankle Surgery Podiatrist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.