Janet a Betchkal MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

JANET A BETCHKAL MD PA

Practice address

3 Shircliff Way
Suite 134
Jacksonville, FL 32204-4757

Phone

(904) 384-3500

Fax

(904) 388-9132

NPI assigned

Jan 10, 2014

Organization subpart

No

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

Authorized official

Name

Janet Ann Betchkal, M.D., MD PA

Title

Owner / Physician

Phone

(904) 384-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Janet Ann Betchkal, MD

  • Ophthalmology Physician
  • Jacksonville, FL
  • NPI 1700881976
  Medicare reassignment NPD

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1851713887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY STE 134",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044785",
            "telephone_number": "904-384-3500",
            "fax_number": "904-388-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY",
            "address_2": "SUITE 134",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044757",
            "telephone_number": "904-384-3500",
            "fax_number": "904-388-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET A BETCHKAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "BETCHKAL, M.D.",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "904-384-3500",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024956300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Prior Jamplis, MD
• Basil Jan
• Meryam Jan, M.D.
• Janea Home Care LLC
• Carlie Janeczko
• Janet D. Constantine PL
• Janet M. Mint, O.D., PA
• Janet Moulton, Inc. (Pediatric Therapy Associates)
• Janet Moulton, Inc. (Pediatric Therapy Associates)
• Janet V Attlesey MD PA

• Ophthalmology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.