DR. ANN ALLISA CHURCH


Address: 5008 Mustang Rd, Jacksonville, FL 32216-6028
Phone: 9042962333

DR. ANN ALLISA CHURCH (NPI# 1205905486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205905486
Entity Type Individual
Full Name DR. ANN ALLISA CHURCH
Other Name ANN ALLISA BAUERNFIEND
Credential MD
Practice Address 5008 Mustang Rd
Jacksonville
FL 32216-6028
Practice Telephone 9042962333
Practice Fax Number 9042968467
Mailing Telephone 9042962333
Enumeration Date 2006-11-06
Last Update Date 2016-09-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology ME97605 FL Allopathic & Osteopathic Physicians
Y 207ND0900X Dermatology
Specialization: Dermatopathology
ME97605 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 001485600 05

Other Providers ANN CHURCH

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1720588783 Ann Clay Church Counselor 7804 Fairview Rd Ste C288, Charlotte, NC 28226-4998 2018-02-16
1295700912 Ann K Church Obstetrics & Gynecology 833 E Roosevelt Ave, Grants, NM 87020-2115 2006-02-17

Office Location

Street Address 5008 MUSTANG RD
City JACKSONVILLE
State FL
Zip Code 32216-6028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760440481 Sumra Rathore Pathology 5008 Mustang Rd, Jacksonville, FL 32216-6028 2006-05-02
1598173510 Maud Major-nicolas Pathology 5008 Mustang Rd, Jacksonville, FL 32216-6028 2014-07-23
1417960626 Bernhardt Laboratories Inc Clinical Medical Laboratory 5008 Mustang Rd, Jacksonville, FL 32216-6028 2006-08-15
1265453302 Sarah Barksdale, Md, Pa Pathology 5008 Mustang Rd, Jacksonville, FL 32216-6028 2006-07-22

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207ND0900X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609975374 John Morello Md Dermatology 13111 Atlantic Blvd, Suite #4, Jacksonville, FL 32225 2006-09-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124646930 Neil Sandhu Pa Dermatology 1431 Orange Camp Rd Ste 115, Deland, FL 32724-7770 2020-07-08
1801369020 Venice Dermatology Clinic Pa Dermatology 3171 Bobcat Village Center Rd, North Port, FL 34288-8974 2019-01-10
1548739246 Associates & Affiliates In Dermatology LLC Dermatology 5210 Webb Rd Ste B, Tampa, FL 33615-4518 2018-11-26
1558836445 Docta LLC Dermatology 5200 S University Dr Ste 102a, Davie, FL 33328-5316 2018-10-08
1598183659 Mustafa Mohammad Dermatology 6001 Memorial Highway, Tampa, FL 33615 2014-04-04
1609215912 Nosky P.a. Dermatology 512 Cypress Parkway, Poinciana, FL 34759 2013-06-19
1487098059 Jason R Rosen Dermatology 4675 Linton Blvd Ste 203b, Delray Beach, FL 33445-6615 2013-04-25
1881964864 Harold Edward Garber Dermatology 605 San Marco Dr, Fort Lauderdale, FL 33301-2547 2012-01-06
1245523414 Sanchez Dermatology Services Dermatology 420 N Plant Ave, Plant City, FL 33563-7248 2011-05-22
1316244379 Teresa C Rey Dermatology 3760 Sw 139th Pl, Miami, FL 33175-6749 2011-02-26
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Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

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.

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