BASSAM RIZK (NPI# 1053390047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053390047 |
| Entity Type | Individual |
| Full Name | BASSAM RIZK |
| Credential | MD |
| Practice Address |
6067 Kennerly Rd Jacksonville FL 32216-4305 |
| Mailing Address |
Po Box 63124 Charlotte NC 28263-3124 |
| Practice Telephone | 9047313131 |
| Mailing Telephone | 9047313131 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2016-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME21343 | FL | Allopathic & Osteopathic Physicians |
| N | 208C00000X | Colon & Rectal Surgery | ME64544 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
6067 KENNERLY RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548249543 | First Coast Surgical Associates Inc | Surgery | 6067 Kennerly Rd, Jacksonville, FL 32216-4305 | 2006-01-10 |
| 1477532463 | Fawzi Farha | Surgery | 6067 Kennerly Rd, Jacksonville, FL 32216-4305 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003441981 | Comprehensive Care Partners | Surgery | 3101 University Blvd S Ste 100, Jacksonville, FL 32216-2750 | 2020-03-11 |
| 1922577626 | Grettel Wentling | Surgery | 7915 Turnstone Cir E, Jacksonville, FL 32256-2358 | 2018-11-26 |
| 1083030977 | Min Li Xu | Surgery | 2 Shircliff Way Ste 500, Jacksonville, FL 32204-4763 | 2014-03-15 |
| 1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
| 1437414935 | Daniel Richard Martin | Surgery | 4205 Belfort Rd Ste 3030, Jacksonville, FL 32216-1474 | 2012-07-10 |
| 1356602221 | Jan-michael Van Gent | Surgery | Navy Medicine Support Command Attn: Medical Staff Serv., Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2012-06-06 |
| 1710245840 | Lenka Zachar Md Plc | Surgery | 3 Shircliff Way Ste 500, Jacksonville, FL 32204-4757 | 2012-04-26 |
| 1992015812 | Ashok Roychoudhury, M.d., P.a. | Surgery | 2032a Southside Blvd, Jacksonville, FL 32216-1944 | 2010-10-13 |
| 1558682054 | Jonathan Robert Gower | Surgery | Bldg H 2005 Knight Lane, Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2010-06-18 |
| 1851612683 | Jason Bradley Brill | Surgery | Bldg H 2005 Knight Ln, Navy Medicine Support Command, Attn Medical Staff Serv, Jacksonville, FL 32212 | 2010-06-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.