Jspeele, MD, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME61635 Issued in FL

Legal business name

JSPEELE, MD, INC

Practice address

7380 W Sand Lake Rd
Suite 500
Orlando, FL 32819-5248

Phone

(407) 929-5611

Fax

(888) 253-9194

NPI assigned

Jan 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey S Peele, MDNPI 1396774758

Title

President

Phone

(407) 929-5611

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Jeffrey Stewart Peele, MD

  • Family Medicine Physician
  • Laurel Fork, VA
  • NPI 1396774758
  NPD (past) Authorized official

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

{
    "created_epoch": "1357344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357344000000",
    "number": "1548507908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 W SAND LAKE RD",
            "address_2": "SUITE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195248",
            "telephone_number": "407-929-5611",
            "fax_number": "888-253-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 W SAND LAKE RD",
            "address_2": "SUITE 500",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195248",
            "telephone_number": "407-929-5611",
            "fax_number": "888-253-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSPEELE, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-05",
        "last_updated": "2013-01-05",
        "status": "A",
        "authorized_official_last_name": "PEELE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-929-5611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME61635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "43697",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254676100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• JSK JSN LLC
• JTJ Medical Supply, Inc
• Juan J. Cardenas M.D.P.a.
• Juan P. Suarez, M.D., P.a.
• Juan Sauer, MD, PA
• Juanita M Brown D O P a

• Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2013; 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.