Jesulin Baranda Alindogan, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME32566 Issued in FL

Practice address

621 N Tamiami Trail
Nokomis, FL 34275

Phone

(941) 485-5645

Fax

(941) 488-3469

NPI assigned

Nov 8, 2006

Last updated

Jul 23, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1962571240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "address_2": "621 N TAMIAMI TRAIL",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "34275",
            "telephone_number": "941-485-5654",
            "fax_number": "941-488-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N TAMIAMI TRAIL",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "34275",
            "telephone_number": "941-485-5645",
            "fax_number": "941-488-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALINDOGAN",
        "first_name": "JESULIN",
        "middle_name": "BARANDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME32566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "01934",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "58356",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Better Way Home Health
• Advanced Neurological Diagnostics, Inc.
• Aima Medical Devices
• Akt Enterprises, Inc. (Homewatch CareGivers Sarasota - South)
• Craig Russell Allen, DO
• Lauren Blair Arcilla, APRN
• Madison Asbury
• William Albert Atz, M.D.
• Aurora Home Health Inc

• General Practice Physician in Nokomis, FL
• Providers in Nokomis, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.