JENNIFER L MISECHOK P.A.-C NPI 1619952934

NPI Information

NPI: 1619952934
Provider Name: JENNIFER L MISECHOK, P.A.-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
10 PASADENA AVE N
ST PETERSBURG, FL
ZIP 33710
Phone: (727) 381-2500
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Jennifer L Misechok, P.A.-C is a surgical physician assistant in St Petersburg, FL. Jennifer L Misechok, P.A.-C NPI is 1619952934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10 PASADENA AVE N
ST PETERSBURG, FL
ZIP 33710-330
Phone: (727) 381-2500
Fax: (727) 343-8746

The NPI 1619952934 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 12/9/2005 and was last updated on 11/14/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083P0011X	Preventive Medicine	Undersea and Hyperbaric Medicine	PA9103594	FLORIDA	No
2	363AS0400X	Physician Assistant	Surgical	PA9103594	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA9103594	OTHER	FLORIDA	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

NPI Synchronization or Removal

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