Suzanne Jaeger, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9101127 Issued in FL

Practice address

3006 Josie Billie Ave
Hollywood, FL 33024-2918

Phone

(954) 962-2009

NPI assigned

Jan 14, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Seminole Tribe of Florida Health Dept.

  • Primary Care Clinic/Center
  • Hollywood, FL
  • NPI 1144551748
  NPD (past)

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1831436658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19101 MYSTIC POINTE DR",
            "address_2": "#2309",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804512",
            "telephone_number": "954-296-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 JOSIE BILLIE AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242918",
            "telephone_number": "954-962-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "SUZANNE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9101127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Chehebar-Valdes PHD PA
• Jacqueline E Barrett MD, PA
• Elvire Jacques, M.D.
• Jessica Anne Jacques, FNP-BC
• Michelle Marie Jadotte, APRN
• Patricia Jaegerman, PSY.D.
• Ailec Jaen Martin
• Armena Jafarmadar
• Avery C Jaffe, D.D.S.
• Joshua Lee Jaffe, D.D.S.

• Medical Physician Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.