Jose Daniel Jimenez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME79938 Issued in FL

Practice address

2527 Windguard Cir
Suite #102
Wesley Chapel, FL 33544-7347

Phone

(813) 907-8001

Fax

(813) 907-5744

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jose.jimenez@smallworldpediatrics.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Small World Pediatrics, P.a.

  • Pediatrics Physician
  • Wesley Chapel, FL
  • NPI 1922286426
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1730247602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47957",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336470117",
            "telephone_number": "813-907-8001",
            "fax_number": "813-907-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 WINDGUARD CIR",
            "address_2": "SUITE #102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447347",
            "telephone_number": "813-907-8001",
            "fax_number": "813-907-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JOSE",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME79938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258877300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Jensen
• Shani-Marie Jerez
• Jiannetto Institute LLC
• Deepthi Jijo Olassa, MD
• Jill Langer, PH.D., LLC
• Sydney Lucila Jimenez, MD
• Ashik Jivan
• JMZ Adaptive Driving & SS Wheelchair Transport Service
• JMZ Adaptive Driving & Wheelchair Transport Service
• Marcia Kay Johansson, APRN

• Pediatrics Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.