DR. JORGE MIGUEL TRABANCO (NPI# 1205220555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205220555 |
| Entity Type | Individual |
| Full Name | DR. JORGE MIGUEL TRABANCO |
| Credential | M.D. |
| Practice Address |
655 W 8th St Jacksonville FL 32209-6511 |
| Mailing Address |
401 Palmetto St New Smyrna Beach FL 32168-7322 |
| Practice Telephone | 9043831014 |
| Practice Fax Number | 9042447388 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | ME135291 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | ME135291 | FL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Palmetto St, New Smyrna Beach, FL 32168 | 3864245000 | |
| 10101 Forest Hill Blvd, Wellington, FL 334146103 | 6176613005 | |
| 653 W 8th St, Box L-18, Jacksonville, FL 322096511 | 9043831003 | 9042447388 |
| Street Address |
655 W 8TH ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586828 | Ghaith Mitri | Internal Medicine | 655 W 8th St, Ufjp Rheumatology Dept., Jacksonville, FL 32209-6511 | 2005-05-23 |
| 1386242253 | Keivan Tavakoli | General Practice | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-10-13 |
| 1013522473 | Jacquelyn Hill | Nurse Practitioner | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-09-12 |
| 1346854346 | Whitney O'brien | Dietitian, Registered | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-09-07 |
| 1548873318 | Kelly Huston | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-08-31 |
| 1427669423 | Dianna Louise Tompkins | Registered Nurse | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-08-12 |
| 1235748021 | Treasure Victoria Bright | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-28 |
| 1003424656 | Christopher Fuller | Physical Therapist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-20 |
| 1922616051 | Katie Reel | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-15 |
| 1437767688 | Bethany Pope | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831490432 | Wallace Thomas | Hospitalist | 1701 San Pablo Rd S, 1213, Jacksonville, FL 32224-2088 | 2010-11-12 |
| 1508817529 | Baptist Primary Care Inc | Hospitalist | 3563 Philips Hwy Ste 106a, Jacksonville, FL 32207-5663 | 2006-05-15 |
| 1972585081 | Nasrullah Ghafoor | Hospitalist | 4466 Swilcan Bridge Ln N, Jacksonville, FL 32224-5617 | 2005-11-15 |
| 1831584473 | Mario Cisneros | Hospitalist | 653 W 8th St # L18, Jacksonville, FL 32209-6511 | 2015-03-31 |
| 1437583572 | Kaley Jo Azar | Hospitalist | 807 Childrens Way, Jacksonville, FL 32207 | 2013-08-26 |
| 1952733719 | Michael Smerina | Hospitalist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2013-08-05 |
| 1235573882 | Priyanka Vijapura | Hospitalist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2013-04-25 |
| 1629336060 | Gautam Matcha | Hospitalist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2012-04-23 |
| 1326327651 | Karthik Gnanapandithan | Hospitalist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2011-08-04 |
| 1003100520 | Ricardo Pagan | Hospitalist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2011-06-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
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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.