JS Healthcare, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

JS HEALTHCARE, INC

Practice address

201 N Lakemont Ave
Suite 2300
Winter Park, FL 32792

Phone

(321) 444-6560

Fax

(407) 960-1902

NPI assigned

Sep 2, 2015

Organization subpart

No

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

Authorized official

Name

Shwetanshu Maheshkumar Shukla, M.D.NPI 1588861751

Title

President/Ceo

Phone

(407) 415-9196

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Shwetanshu M Shukla, M.D.

  • Hospitalist Physician
  • Winter Park, FL
  • NPI 1588861751
  Medicare reassignment NPD Authorized official
• Shelley Hannah Fox, DNP, FNP-BC

  • Family Nurse Practitioner
  • Maitland, FL
  • NPI 1255603817
  Medicare reassignment NPD
• Alex Orandi, NP-C

  • Nurse Practitioner
  • Winter Park, FL
  • NPI 1144752239
  Medicare reassignment NPD
• Melinda Rivera, MSN , NP-C

  • Adult Health Nurse Practitioner
  • Orlando, FL
  • NPI 1134885999
  Medicare reassignment NPD
• Courtney Nicole Segura, NP

  • Nurse Practitioner
  • Winter Park, FL
  • NPI 1245829878
  Medicare reassignment NPD

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1598133993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 948237",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327948237",
            "telephone_number": "321-444-6560",
            "fax_number": "407-960-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N LAKEMONT AVE",
            "address_2": "SUITE 2300",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32792",
            "telephone_number": "321-444-6560",
            "fax_number": "407-960-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "SHWETANSHU",
        "authorized_official_middle_name": "MAHESHKUMAR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "407-415-9196",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.