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JESSICA SHIN CHOE MD NPI 1215194030


NPI Information

NPI: 1215194030
Provider Name: JESSICA SHIN CHOE, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
11215 METRO PKWY STE 1
FORT MYERS, FL
ZIP 33966
Phone: (239) 208-2212
Get Directions

Jessica Shin Choe, MD is a neurology psychiatry neurology in Fort Myers, FL with 16 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Jessica Shin Choe, MD NPI is 1215194030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

11215 METRO PKWY STE 1
FORT MYERS, FL
ZIP 33966-206
Phone: (239) 208-2212

The NPI 1215194030 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 8/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology4301505293MICHIGANNo
22084N0400XPsychiatry & NeurologyNeurologyA111942CALIFORNIAYes
32084V0102XPsychiatry & NeurologyVascular Neurology100776MONTANANo
42084V0102XPsychiatry & NeurologyVascular Neurology993524CALIFORNIANo
52084V0102XPsychiatry & NeurologyVascular Neurology21858NEW HAMPSHIRENo
62084N0400XPsychiatry & NeurologyNeurology01073581AINDIANANo
72084N0400XPsychiatry & NeurologyNeurology993524CALIFORNIANo
82084N0400XPsychiatry & NeurologyNeurologyMD457978PENNSYLVANIANo
92084N0400XPsychiatry & NeurologyNeurologyME152511FLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A111942OTHERCALIFORNIASTATE MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.