Thierry O Jacquemin, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS 9856 Issued in FL

Practice address

10254 SW 128TH CT
Miami, FL 33186-2321

Phone

(305) 733-9204

NPI assigned

Mar 21, 2007

Last updated

Nov 9, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Real Healthcare, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Plantation, FL
  • NPI 1891059366
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459

  FL

  Medicare reassignment NPD
• Thierry Jacquemin D.O., P.a

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1427590918
  NPD (past) Authorized official
• Gene Neytman DO PA

  • Internal Medicine Physician
  • Miami Beach, FL
  • NPI 1780909499
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1750407086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10254 SW 128TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862321",
            "telephone_number": "305-733-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10254 SW 128TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862321",
            "telephone_number": "305-733-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUEMIN",
        "first_name": "THIERRY",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS 9856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra T Jacomino, ARNP
• Jacqueline Farinas Therapy Inc
• Jacqueline Redondo MD PA (Redondo Hand Center)
• Jacqueline Valdes-Rafuls, M.D., P.a.
• Simone Allison Jacquemin, MS
• Ernstlyne Jacques
• Fidele Jacques
• Katia Jacques
• Jade ABA FL LLC
• Jade Medical Center LLC

• Internal Medicine Physician in Miami, FL
• Providers in Miami, 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 Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.