DR. BRETT MATTHEW SASSEEN (NPI# 1194728360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194728360 |
| Entity Type | Individual |
| Full Name | DR. BRETT MATTHEW SASSEEN |
| Credential | MD |
| Practice Address |
7011 A C Skinner Pkwy Suite 160 Jacksonville FL 32256-6954 |
| Mailing Address |
Po Box 551308 Jacksonville FL 32255-1308 |
| Practice Telephone | 9044933333 |
| Practice Fax Number | 9044932222 |
| Mailing Telephone | 9044933333 |
| Mailing Fax Number | 9044932222 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2015-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME82025 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME82025 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010786200 | 05 | |
| FL | BCBS | 58520 | 01 |
| FL | AETNA | 5606582 | 01 |
| Street Address |
7011 A C SKINNER PKWY SUITE 160 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-6954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836982 | Centerstone of Tennesse Inc. | Clinic/Center | 7011 A C Skinner Pkwy, Jacksonville, FL 32256-6954 | 2020-09-17 |
| 1437780616 | Kelly M Capel | Case Manager/Care Coordinator | 7011 A C Skinner Pkwy, Jacksonville, FL 32256-6954 | 2020-01-28 |
| 1053958264 | Tracy Lynn Monticone | Registered Nurse | 7011 A C Skinner Pkwy, Jacksonville, FL 32256-6954 | 2019-12-06 |
| 1912543521 | Erin Kelly Voss | Physician Assistant | 7011 A C Skinner Pkwy, Jacksonville, FL 32256-6954 | 2019-11-19 |
| 1548700164 | Merdijana Ahmetovic | Nurse Practitioner | 7011 A C Skinner Pkwy, Jacksonville, FL 32256-6954 | 2017-03-01 |
| 1801244132 | Sherita Ladwan Bentley | Nurse Practitioner | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6954 | 2016-05-26 |
| 1487027371 | Maxwell Samuel Sapolsky | Physician Assistant | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6954 | 2015-11-02 |
| 1386058725 | Julia Anne Shank | Nurse Practitioner | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6954 | 2014-06-13 |
| 1114349180 | Curtis Allen Clausen | Nurse Practitioner | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6954 | 2014-01-10 |
| 1720369820 | Brenda Lee Murphy | Nurse Practitioner | 7011 A C Skinner Pkwy, Suite 160, Jacksonville, FL 32256-6954 | 2011-09-01 |
| Find all providers in the same location | ||||
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
| 1366950230 | Cardiac Cin of Jacksonville LLC | Internal Medicine | 1301 Riverplace Blvd # 800c, Jacksonville, FL 32207-9047 | 2018-01-13 |
| 1982677068 | Abdul Rahman Kani | Internal Medicine | 8245 Bayberry Rd, Jacksonville, FL 32256-7432 | 2006-02-09 |
| 1881197044 | John-paul Pham | Internal Medicine | 1907 Atlantic Blvd, Jacksonville, FL 32207-3405 | 2018-03-14 |
| 1891294856 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256 | 2018-02-06 |
| 1013375195 | Duval Vascular Center, LLC | Internal Medicine | 915 W Monroe St, Suite 100, Jacksonville, FL 32204-1177 | 2016-02-04 |
| 1114332962 | Advanced Vascular Resources of Jacksonville, LLC | Internal Medicine | 4253 Salisbury Rd, Jacksonville, FL 32216-6121 | 2014-06-30 |
| 1992058333 | Omar Marwan Hamoui | Internal Medicine | 7011 A C Skinner Pkwy Ste 160, Jacksonville, FL 32256-6953 | 2012-10-23 |
| 1760751598 | Baptist Cardiology, Inc. | Internal Medicine | 3563 Phillips Hwy Ste 106a, Credentialing Department, Jacksonville, FL 32207-5663 | 2011-12-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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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.