DR. EDWARD WESLEY BISHER (NPI# 1215995386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215995386 |
| Entity Type | Individual |
| Full Name | DR. EDWARD WESLEY BISHER |
| Practice Address |
14534 Old Saint Augustine Rd Ste 3420 Jacksonville FL 32258-2616 |
| Mailing Address |
Po Box 43667 Jacksonville FL 32203-3667 |
| Practice Telephone | 9044938001 |
| Practice Fax Number | 9043380852 |
| Mailing Telephone | 9047200599 |
| Mailing Fax Number | 9043764036 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME95566 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME95566 | FL | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
ME95566 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 275917900 | 05 | |
| FL | RR MEDICARE | P00317528 | 01 |
| Street Address |
14534 OLD SAINT AUGUSTINE RD STE 3420 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437150349 | Praveen Kanaparti | Internal Medicine | 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616 | 2005-08-02 |
| 1588214845 | Katrina Romanow | Nurse Practitioner | 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616 | 2019-09-18 |
| 1184055246 | Erica Brasfield | Nurse Practitioner | 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616 | 2013-11-27 |
| 1831462829 | Baptist Cardiology, Inc. | Internal Medicine | 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616 | 2012-02-22 |
| 1356654339 | Emiliana Franco Ladron De Guevara | Internal Medicine | 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616 | 2010-07-20 |
| 1962653212 | Judith G Rewis | Nurse Practitioner | 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616 | 2008-10-06 |
| 1699960450 | Michele Foeks | Physician Assistant | 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616 | 2007-09-13 |
| 1124034269 | Brent S Mickley | Physician Assistant | 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616 | 2006-07-31 |
| 1851318828 | Bonnie Jean Gandee | Physician Assistant | 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616 | 2006-07-16 |
| 1033141692 | Bharat Kumar Gummadi | Internal Medicine | 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| 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 | 32258 |
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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.