Jolita Klementaviciene MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME77898 Issued in FL

Legal business name

JOLITA KLEMENTAVICIENE MD PA

Practice address

1118 Gulf Breeze Pkwy
Suite 205
Gulf Breeze, FL 32561-7800

Phone

(850) 934-9050

Fax

(850) 934-9580

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Jolita Klementaviciene, MDNPI 1053301101

Title

Owner

Phone

(850) 934-9050

Specialties & licenses 1

Addresses

Other identifiers 1

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CEGEAA

Practitioners 1

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

• Jolita Klementaviciene, MD

  • Internal Medicine Physician
  • Gulf Breeze, FL
  • NPI 1053301101
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1700066834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 GULF BREEZE PKWY",
            "address_2": "SUITE 205",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617800",
            "telephone_number": "850-934-9050",
            "fax_number": "850-934-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 GULF BREEZE PKWY",
            "address_2": "SUITE 205",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617800",
            "telephone_number": "850-934-9050",
            "fax_number": "850-934-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLITA KLEMENTAVICIENE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "KLEMENTAVICIENE",
        "authorized_official_first_name": "JOLITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-934-9050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257666000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert P Jensen, M.D.
• Jennifer Jernigan, LMHC
• Jocelyn E. Leveque, MD PL
• Allison Johnson
• Jill Anne Johnson, CRNA
• Alyssa Suzanne Jones
• Rick Jones Jr.
• Steve E Jordan, MD
• Joseph D Howard
• Josh Hackel MD PA

• Internal Medicine Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.