JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC (NPI# 1114458916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114458916 |
Entity Type | Organization |
Organization Name | JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC |
Practice Address |
9191 R G Skinner Pkwy Jacksonville FL 32256-9655 |
Mailing Address |
13842 Harbor Creek Pl Jacksonville FL 32224-6895 |
Practice Telephone | 9043883351 |
Mailing Telephone | 9043883351 |
Enumeration Date | 2017-03-23 |
Last Update Date | 2017-03-27 |
Authorized Official Name | DR. REHAM HASAN (OWNER) |
Authorized Official Telephone | 9043883351 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
Street Address |
9191 R G SKINNER PKWY |
City | JACKSONVILLE |
State | FL |
Zip Code | 32256-9655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194805085 | Arnold Graham Smith | Orthopaedic Surgery | 9191 R G Skinner Pkwy, Suite 103, Jacksonville, FL 32256-9655 | 2006-10-16 |
1235762113 | Simona Zenata Sipos | Physician Assistant | 9191 R G Skinner Pkwy, Jacksonville, FL 32256-9655 | 2020-02-19 |
1174072722 | Jax Home Health, Inc. | Home Health | 9191 R G Skinner Pkwy, Suite 803, Jacksonville, FL 32256-9655 | 2016-09-23 |
1083073092 | Chirag V Desai Md LLC | Psychiatry & Neurology | 9191 R G Skinner Pkwy, Jacksonville, FL 32256-9655 | 2016-02-18 |
1851787261 | Emily Knowles | Physician Assistant | 9191 R G Skinner Pkwy, Suite 603, Jacksonville, FL 32256-9655 | 2015-04-13 |
1558771154 | Steven Clyde Casto | Nurse Practitioner | 9191 R G Skinner Pkwy, Suite 103, Jacksonville, FL 32256-9655 | 2014-05-05 |
1508289448 | Aruna Avanti Dds.,pa. | Dentist | 9191 R G Skinner Pkwy, Suite 301, Jacksonville, FL 32256-9655 | 2014-01-29 |
1508294802 | Home Instead Senior Care | Home Health | 9191 R G Skinner Pkwy, Ste. 803, Jacksonville, FL 32256-9655 | 2013-10-23 |
1154663342 | Total Pain Relief LLC | Anesthesiology | 9191 R G Skinner Pkwy, Ste 303, Jacksonville, FL 32256-9655 | 2013-03-26 |
1386985307 | Arnold Graham Smith, Md Pa | Specialist | 9191 R G Skinner Pkwy, Suite 103, Jacksonville, FL 32256-9655 | 2013-03-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
Find all providers in zip 32256 |
Taxonomy Code | 2080P0205X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Endocrinology |
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891359998 | Kids and Families Medical Clinic LLC | Pediatrics | 12086 Fort Caroline Rd Ste 404, Jacksonville, FL 32225-7640 | 2019-04-24 |
1336780907 | Sunshine Medical Specialists, LLC | Pediatrics | 10175 Fortune Pkwy, Jacksonville, FL 32256-6746 | 2019-10-03 |
1043674864 | Lurah Elizabeth Welch | Pediatrics | 655 W 8th St, Jacksonville, FL 32209-6511 | 2016-04-07 |
1750679973 | Reham Hasan | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2011-07-21 |
1205070935 | Lydia L Snyder | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2009-04-24 |
1447315734 | Dominique Darmaun | Pediatrics | 807 Childrens Way, Nemours Children's Clinic, Research 5north, Jacksonville, FL 32207-8426 | 2006-12-27 |
1467530626 | Nelly Mauras | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-11-02 |
1992811822 | Jose Atilio Canas | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-22 |
1548375520 | Priscila C Gagliardi | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-20 |
1629183603 | Robert C. Olney | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-08-20 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32256 |
Please comment or provide details below to improve the information on JACKSONVILLE PEDIATRIC ENDOCRINOLOGY CLINIC PLLC.
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.