DR. JOHN D. YORK (NPI# 1043425614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043425614 |
| Entity Type | Individual |
| Full Name | DR. JOHN D. YORK |
| Credential | M.D. |
| Practice Address |
554 Keily Street Bumed Ccpd Jacksonville FL 32212 |
| Practice Telephone | 7579537550 |
| Practice Fax Number | 7579537560 |
| Mailing Telephone | 7579537550 |
| Mailing Fax Number | 7579537560 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2015-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101228434 | VA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
0101228434 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053479741 | John Wayne York II | Dentist | 55 Golfview Dr Ne, Arab, AL 35016-5467 | 2006-12-05 |
| 1821533753 | John Eric York | Nurse Practitioner | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2017-01-02 |
| 1891884003 | John C York | Allergy & Immunology | 6633 North Mesa, Suite 101, El Paso, TX 79912 | 2006-10-12 |
| 1003822230 | John York | Obstetrics & Gynecology | 590 Country Club Pkwy, Suite B, Eugene, OR 97401-6025 | 2006-07-31 |
| 1508802844 | John Joseph York | Physical Therapist | 605 Rockmead Drive, Suite 200, Kingwood, TX 77339 | 2006-06-22 |
| 1700828746 | John Walter York | Surgery | 316 Calhoun St, Charleston, SC 29401-1113 | 2006-06-12 |
| 1669420428 | John H York | Orthopaedic Surgery | 516 E Nizhoni Blvd, Gallup, NM 87301 | 2006-05-04 |
| Street Address |
554 KEILY STREET BUMED CCPD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326019373 | Brian G Norwood | Pediatrics | 554 Keily Street, Jacksonville, FL 32212 | 2006-01-29 |
| 1811461726 | Yocelin Hernandez Rojero | Occupational Therapist | 554 Keily Street, Jacksonville Fl 32212, Jacksonville, FL 32212 | 2019-01-14 |
| 1609381235 | Miranda Shilelagh Schmidt | Physician Assistant | 554 Keily Street, Jacksonville, FL 32212 | 2017-12-05 |
| 1144733627 | Tylisha Elyse Deshields | Social Worker | 554 Keily Street, Jacksonville, FL 32212 | 2017-11-07 |
| 1326557976 | David Michael Tatera | Psychologist | 554 Keily Street, Jacksonville, FL 32212 | 2017-09-27 |
| 1104335348 | Kuang-hui Lee | General Practice | 554 Keily Street, Jacksonville, FL 32212 | 2017-09-20 |
| 1548788177 | Sophia Renee Beal | Speech-Language Pathologist | 554 Keily Street, Jacksonville, FL 32212 | 2017-09-04 |
| 1164949418 | George S Bennitt | Dentist | 554 Keily Street, Jacksonville, FL 32212-4047 | 2017-08-28 |
| 1124545389 | David Phillips | Student in an Organized Health Care Education/Training Program | 554 Keily Street, Centralized Credential and Privileging Directorate, Jacksonville, FL 32212-2466 | 2017-08-28 |
| 1902323652 | Erich Chen | Student in an Organized Health Care Education/Training Program | 554 Keily Street, Jacksonville, FL 32212 | 2017-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1518484427 | Amy Kathryn Lee | Student in an Organized Health Care Education/Training Program | Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 | 2017-08-23 |
| 1659827970 | Noah Fixelle | Dentist | Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 | 2016-08-28 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1912382359 | Caitlyn Brooke Hoysock | Dentist | 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 | 2015-07-28 |
| 1285017418 | John Alexander Ruch | Dentist | 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 | 2015-07-07 |
| 1407238561 | Amanda Mona Lau | Student in an Organized Health Care Education/Training Program | 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 | 2015-06-25 |
| 1063894715 | Heather Dehaan | Family Medicine | 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 | 2015-06-18 |
| 1912389677 | Catherine Garcia | Student in an Organized Health Care Education/Training Program | 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 | 2015-06-18 |
| 1255712675 | James Robert Benson | Dentist | 734 Keily Street, Bumed, Jacksonville, FL 32212 | 2015-06-11 |
| Find all providers in zip 32212 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972681542 | Kok L. Chong | Radiology | 800 Lomax St, Suite 100a, Jacksonville, FL 32204-3927 | 2006-11-01 |
| 1730189739 | James K St George | Radiology | 8767 Perimeter Park Blvd, Jacksonville, FL 32216-5479 | 2005-08-01 |
| 1003478827 | Physician Group Holdings, LLC | Radiology | 10210 San Jose Blvd Ste 4, Jacksonville, FL 32257-6271 | 2019-07-01 |
| 1992294938 | Christopher Gammarano | Radiology | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2018-05-04 |
| 1457770604 | Jehan L Shah | Radiology | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2014-04-15 |
| 1184069411 | Altan Fareed Ahmed | Radiology | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2013-04-30 |
| 1902169527 | Daniel George | Radiology | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2012-06-19 |
| 1336408020 | Saeed Bashir | Radiology | 655 W 8th St, Jacksonville, FL 32209-6511 | 2012-05-15 |
| 1659639169 | Zlatko Devcic | Radiology | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2012-05-03 |
| 1669771168 | American Access Care of Jacksonville LLC | Radiology | 2416 Dunn Ave, Jacksonville, FL 32218-4604 | 2011-03-23 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32212 |
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| 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.