DR. JONATHAN PAUL VAN NAME MD
NPI 1407616147
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since March 20, 2024PECOS Enrolled
1600 SW ARCHER RD FL 32610, GAINESVILLE, FL 32610(352) 273-9914 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathan Paul Van Name Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN PAUL VAN NAME MD (NPI 1407616147) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407616147
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JONATHAN PAUL VAN NAMECredential: MD
Location Address1600 SW ARCHER RD FL 32610Gainesville, FL 32610-3003
Mailing Address1600 Sw Archer Rd Fl 32610Gainesville, FL 32610-3003
Sole ProprietorYes
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
NPI 1407616147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1600 SW ARCHER RD FL 32610, Gainesville, FL 32610

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jonathan Paul Van Name Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Critical Care Medicine)
1600 SW ARCHER RD FL 32610
GAINESVILLE, FL 32610
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD FL 32610
GAINESVILLE, FL 32610
Pediatrics
1600 SW ARCHER RD FL 32610
GAINESVILLE, FL 32610
Licensed Practical Nurse
1600 SW ARCHER RD FL 32610
GAINESVILLE, FL 32610
Pharmacist
1600 SW ARCHER RD FL 32610
GAINESVILLE, FL 32610
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD FL 32610
GAINESVILLE, FL 32610
Student in an Organized Health Care Education/Training Program
1600 SW ARCHER RD FL 32610
GAINESVILLE, FL 32610
Anesthesiology
1600 SW ARCHER RD FL 32610
GAINESVILLE, FL 32610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Van Name's NPI number?

The NPI number for Jonathan Van Name is 1407616147. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Jonathan Van Name located?

Jonathan Van Name practices at 1600 SW Archer Rd Fl 32610, Gainesville, FL 32610. The listed phone number is (352) 273-9914.

What is Jonathan Van Name's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Van Name enrolled in Medicare?

Yes. Jonathan Van Name is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Van Name was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.