KIELY, JEREMIAH, & BARBERIS, PA (NPI# 1003925728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003925728 |
| Entity Type | Organization |
| Organization Name | KIELY, JEREMIAH, & BARBERIS, PA |
| Other Organization Name | LAKEWOOD ACUTE CARE CENTER |
| Practice Address |
5978 Powers Ave Jacksonville FL 32217-2210 |
| Practice Telephone | 9047378686 |
| Practice Fax Number | 9044485414 |
| Mailing Telephone | 9047378686 |
| Mailing Fax Number | 9044485414 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT FRENCH KIELY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9047378686 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146M00000X | Emergency Medical Technician, Intermediate | ME39469 | FL | Emergency Medical Service Providers |
| Other Name | Type Code |
|---|---|
| Lakewood Acute Care Center | Doing Business As Name - Organization |
| Street Address |
5978 POWERS AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407428 | Malissa Ann Richter | Nurse Practitioner | 5978 Powers Ave, Jacksonville, FL 32217-2210 | 2020-01-30 |
| 1679087084 | Emily Zink | Nurse Practitioner | 5978 Powers Ave, Jacksonville, FL 32217-2210 | 2017-11-21 |
| 1700329026 | Laura Ghasseminia | Nurse Practitioner | 5978 Powers Ave, Jacksonville, FL 32217-2210 | 2016-11-18 |
| 1528450285 | Planned Parenthood of South Florida & The Treasure Coast | Non-Pharmacy Dispensing Site | 5978 Powers Ave, Jacksonville, FL 32217-2210 | 2015-03-04 |
| 1255462123 | Baptist Occupational Health, Inc. | Clinic/Center | 5978 Powers Ave, Jacksonville, FL 32217-2210 | 2007-03-09 |
| 1396832069 | Pamela R Burns | Emergency Medicine | 5978 Powers Ave, Jacksonville, FL 32217-2210 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1770125551 | Nasir Nabial | Emergency Medical Technician, Intermediate | 1885 Via Lago Dr, Lakeland, FL 33810-2418 | 2019-10-13 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1386697647 | Intermed Healthcare Centers Inc | Emergency Medical Technician, Intermediate | 11327 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411-8724 | 2006-05-18 |
| 1154626778 | Reeder Medical Group | Emergency Medical Technician, Intermediate | 1400 S Andrews Ave, Fort Lauderdale, FL 33316-1840 | 2011-01-12 |
| 1891980389 | Palm Bay Urgent Care Pl | Emergency Medical Technician, Intermediate | 1155 Malabar Rd Ne Ste 10, Palm Bay, FL 32907-3262 | 2007-09-08 |
| City | JACKSONVILLE |
| Zip Code | 32217 |
Please comment or provide details below to improve the information on KIELY, JEREMIAH, & BARBERIS, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.