Jonathan T Paine MD PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME0050830 Issued in FL

Legal business name

JONATHAN T PAINE MD PA

Practice address

1305 Valentine St
Melbourne, FL 32901-3127

Phone

(321) 727-2468

Fax

(321) 952-0163

NPI assigned

Feb 14, 2006

Organization subpart

No

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

Authorized official

Name

Jonathan T. Paine, M.D.

Title

President

Phone

(321) 727-2468

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1932173283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 VALENTINE ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013127",
            "telephone_number": "321-727-2468",
            "fax_number": "321-952-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 VALENTINE ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013127",
            "telephone_number": "321-727-2468",
            "fax_number": "321-952-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN T PAINE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "PAINE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-727-2468",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME0050830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0470639",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046080000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03944",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4039014",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6656062002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140001058",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Cheryll Johnston, MD
• Dorella Jolly, COTA
• Ana Joly, RT
• Nadia Zahara Jomaa, LCSW
• Irma J Jonas
• Alexa Angela Jones, PTA
• Audrey Jones
• Carl Jones, DDS
• Casper Pierce Jones III, BS,MS,MBA,ACHE
• Cresenda Jones, MA

• Neurological Surgery Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.