DR. EJAZ YOUSEF (NPI# 1205996402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205996402 |
| Entity Type | Individual |
| Full Name | DR. EJAZ YOUSEF |
| Credential | MD |
| Practice Address |
807 Childrens Way Nemours Childrens Clinic, Jacksonville Jacksonville FL 32207-8426 |
| Mailing Address |
Po Box 191 Provider Enrollment Department Rockland DE 19732-0191 |
| Practice Telephone | 9046973600 |
| Practice Fax Number | 9046973455 |
| Mailing Telephone | 3026516212 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 56579 | WI | Allopathic & Osteopathic Physicians |
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
ME120908 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
56579 | WI | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
C10006135 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 013670600 | 05 | |
| NJ | 8003700 | 05 | |
| MD | 8301018 | 05 | |
| GA | 0033153424B | 05 | |
| WI | 1205996402 | 05 | |
| PA | 001680789 | 05 | |
| KY | 64050859 | 05 |
| Street Address |
807 CHILDRENS WAY NEMOURS CHILDRENS CLINIC, JACKSONVILLE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281658 | Elizabeth A Moran | Orthopaedic Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2005-08-02 |
| 1689229213 | Madyson Marie Hund | Audiologist | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-08-09 |
| 1336792829 | Graciela Teresita Gallo | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-07-23 |
| 1538712013 | Vanessa V Oliveira Valente | Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-07-23 |
| 1679031181 | Navondria Lawson | Nurse Practitioner | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-03-05 |
| 1952870644 | Jessica Alice Johnson | Nurse Practitioner | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-11-25 |
| 1831676584 | Lukas Scott Hayden | Physician Assistant | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-07-25 |
| 1053807750 | Christine Nichole Crews | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-07-05 |
| 1134610470 | Rocio Krystal Rivera-valentin | Student in an Organized Health Care Education/Training Program | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-05-22 |
| 1144726696 | Paige Marie Ryan | Student in an Organized Health Care Education/Training Program | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053322586 | Hary T. Katz | Pediatrics | 4123 University Blvd. S., Suite B, Jacksonville, FL 32216 | 2006-08-10 |
| 1598058166 | Shajitha Melethil | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2011-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790076115 | South Broward Hospital District | Pediatrics | 1131 N 35th Ave Ste 220, Hollywood, FL 33021-5403 | 2011-04-20 |
| 1427609080 | University of Miami | Pediatrics | 1580 Nw 10th Ave Fl 1, Miami, FL 33136-1013 | 2019-09-25 |
| 1598185480 | Camile Ortega | Pediatrics | 16371 Nw 67th Ave, Miami Lakes, FL 33014-6044 | 2014-04-18 |
| 1548607757 | David Squier Lindsay II | Pediatrics | 12901 Bruce B Downs Blvd, #3130, Tampa, FL 33612-4742 | 2013-05-29 |
| 1225393556 | Grace Toledo Padron | Pediatrics | 1580 Nw 10th Ave, Miami, FL 33136-1013 | 2012-07-12 |
| 1538303631 | Amy Sarah Feldman | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2009-04-21 |
| 1134394596 | Sthorn Thatayatikom | Pediatrics | 1600 Sw Archer Rd, Box 100371, Gainesville, FL 32610-0296 | 2008-04-28 |
| 1437349339 | American Medicine, Inc. | Pediatrics | 817 S University Dr, Suite 106, Plantation, FL 33324-3309 | 2007-07-26 |
| 1225117138 | Ilene Joy Goldstein | Pediatrics | 10301 Hagen Ranch Rd Ste 760, Boynton Beach, FL 33437-3777 | 2006-11-02 |
| 1962582031 | Kenneth Andrew Alexander | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2006-10-16 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.