CHITRA KUTHIALA MD PA (NPI# 1124283544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124283544 |
| Entity Type | Organization |
| Organization Name | CHITRA KUTHIALA MD PA |
| Practice Address |
9765 San Jose Blvd Suite 108 Jacksonville FL 32257-4402 |
| Practice Telephone | 9042629135 |
| Practice Fax Number | 9048802948 |
| Mailing Telephone | 9042629135 |
| Mailing Fax Number | 9048802948 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | DR. CHITRA KUTHIALA (PRESIDENT) |
| Authorized Official Telephone | 9042629135 |
| Authorized Official Credential | M.D., PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | ME29708 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HEALTHEASE | 192665 | 01 |
| FL | WELLCARE | 192665 | 01 |
| FL | AVMED | 279638 | 01 |
| FL | AETNA | 2699245 | 01 |
| FL | CIGNA | 3464796-01 | 01 |
| FL | 265658200 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 42736 | 01 |
| Street Address |
9765 SAN JOSE BLVD SUITE 108 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598741118 | Luis F Anez | Family Medicine | 9765 San Jose Blvd, Ste 102, Jacksonville, FL 32257-4402 | 2005-12-15 |
| 1073061214 | Shayne Lynne Mangalindan | Nurse Practitioner | 9765 San Jose Blvd, Ste. 102, Jacksonville, FL 32257-4402 | 2016-09-16 |
| 1992045207 | Martha G Herrera Dpm Pa | Podiatrist | 9765 San Jose Blvd, Suite 107, Jacksonville, FL 32257 | 2013-02-22 |
| 1285984104 | Martha G Herrera | Podiatrist | 9765 San Jose Blvd, Suite 107, Jacksonville, FL 32257 | 2012-09-18 |
| 1659686251 | Terri Jo Serman | Nurse Practitioner | 9765 San Jose Blvd, Ste.102, Jacksonville, FL 32257-4402 | 2010-08-09 |
| 1497919187 | Physicians Group Services Pa | Nurse Practitioner | 9765 San Jose Blvd, Suite 106, Jacksonville, FL 32257-4402 | 2008-07-11 |
| 1538347380 | Luis F Anez Md Pa | Family Medicine | 9765 San Jose Blvd, Ste 102, Jacksonville, FL 32257-4402 | 2008-02-04 |
| 1891978466 | Gary S Mccoy Dpm Pa | Durable Medical Equipment & Medical Supplies | 9765 San Jose Blvd, Suite 104, Jacksonville, FL 32257-4402 | 2007-12-06 |
| 1700898434 | Chitra Kuthiala | Allergy & Immunology | 9765 San Jose Blvd, Jacksonville, FL 32257-4402 | 2006-08-12 |
| 1245200039 | Gary S Mccoy | Podiatrist | 9765 San Jose Blvd, Suite 104, Jacksonville, FL 32257-4402 | 2006-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356367650 | Tracy A Sinha-khona | Allergy & Immunology | 4131 University Blvd S Ste 4a, Jacksonville, FL 32216-4322 | 2006-07-14 |
| 1578517009 | Sanjay Swami | Allergy & Immunology | 9191 R G Skinner Parkway, Suite 402, Jacksonville, FL 32256-9179 | 2006-05-20 |
| 1083668511 | First Coast Allergy and Asthma Pa | Allergy & Immunology | 9191 R.g. Skinner Parkway, Suite 402, Jacksonville, FL 32256-9179 | 2006-05-20 |
| 1255394896 | Allen Okie | Allergy & Immunology | 2345 Park St, Jacksonville, FL 32204-4317 | 2006-04-06 |
| 1497749071 | Sudhir L Prabhu | Allergy & Immunology | 4123 University Blvd S, B, Jacksonville, FL 32216-4371 | 2005-09-09 |
| 1306830989 | Paul F Wubbena Jr | Allergy & Immunology | 11267 Harbour Woods Rd S, Jacksonville, FL 32225-1504 | 2005-09-09 |
| 1902344427 | Raquel S Watkins Md Pllc | Allergy & Immunology | 13241 Bartram Park Blvd, Suite 2601, Jacksonville, FL 32258-5212 | 2017-02-03 |
| 1346555307 | Allen Okie Md Pa | Allergy & Immunology | 2345 Park St, Jacksonville, FL 32204-4317 | 2010-08-15 |
| 1982921169 | Alexei Gonzalez Estrada | Allergy & Immunology | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2010-04-27 |
| 1205036084 | Raquel S Watkins | Allergy & Immunology | 13241 Bartram Park Blvd Unit 2601, Jacksonville, FL 32258-5219 | 2007-07-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
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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.