Jesse Quinn Owens Badger, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102404 Issued in FL

Practice address

8823 San Jose Blvd Ste 209
Jacksonville, FL 32217-4288

Phone

(904) 404-7044

Fax

(904) 329-2303

NPI assigned

May 1, 2007

Last updated

Jan 19, 2020By 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

Other identifiers 1

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Advanced Medical Centers LLC

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1548426638
  Medicare reassignment
• Advanced Medical Centers LLC

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1710194691
  NPD
• Universal Neurological Care

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1750188090
  NPD
• Owensville Primary Care, Inc

  dba Bay Community Health

  • Family Medicine Physician
  • West River, MD
  • NPI 1225110067
  NPD (past)
• Owensville Primary Care,Inc

  • Federally Qualified Health Center (FQHC)
  • Lothian, MD
  • NPI 1942875026
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1902027717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 SAN JOSE BLVD STE 209",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174288",
            "telephone_number": "904-404-7044",
            "fax_number": "904-329-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8823 SAN JOSE BLVD STE 209",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174288",
            "telephone_number": "904-404-7044",
            "fax_number": "904-329-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADGER",
        "first_name": "JESSE",
        "middle_name": "QUINN OWENS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LIC.",
            "identifier": "PA9102404",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jesse.badger@universalneurocare.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8823 San Jose Blvd Ste 209",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322174288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suprith Badarinath, MD
• Satish Baddam, R.PH
• Yolla N Baddour, LMHC
• Gabriela Nicoleta Badea, APRN
• Beth Badger
• Pia Caesare Badger, APRN
• Mohammed Khalafallah Badi, MD
• Yasra Badi, MD
• Ahmad Ali Badii, MD
• Jonathan Mauricio Badilla, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; 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.