Organization Active NPI

Jaimela J Dulaney MD PA

  • Specialist
  • Port Charlotte, FL
National Provider Identifier
1841505039
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
JAIMELA J DULANEY MD PA
Practice address
2495 Caring Way
Ste C
Port Charlotte, FL 33952
Phone
(941) 235-9229
Fax
(941) 235-9232
NPI assigned
Aug 11, 2010
Last updated
Aug 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Ms. Stacey L Brown
Title
Billing Specialist
Phone
(941) 235-9229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2495 Caring Way
Ste C
Port Charlotte, FL 33952

Mailing address

2495 Caring Way
Ste C
Port Charlotte, FL 33952-5380
Phone (941) 235-9229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110107000842 FL Part B Supplier - Clinic/Group Practice 0143419085 Receives reassigned benefits from 1 practitioner
Practice locations: Port Charlotte, FL

National Provider Directory

National Provider Directory

Locations

2495 Caring Way
Ste C
Pt Charlotte, FL 33952
Phone (941) 235-9229

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8445/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1841505039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 CARING WAY",
            "address_2": "STE C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525380",
            "telephone_number": "941-235-9229",
            "fax_number": "941-235-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 CARING WAY",
            "address_2": "STE C",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "941-235-9229",
            "fax_number": "941-235-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIMELA J DULANEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "941-235-9229",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.