DR. PHILIP ADRIAN CARNEVALE (NPI# 1225105299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225105299 |
| Entity Type | Individual |
| Full Name | DR. PHILIP ADRIAN CARNEVALE |
| Credential | M.D. |
| Practice Address |
5105 Bowden Rd Jacksonville FL 32216-5907 |
| Practice Telephone | 9043740260 |
| Practice Fax Number | 9046195463 |
| Mailing Telephone | 9043740260 |
| Mailing Fax Number | 9046195463 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | ME63643 | FL | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME63643 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 372464601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376049213 | Philip Austin Carnevale | Nurse Practitioner | 5105 Bowden Rd, Jacksonville, FL 32216 | 2018-03-31 |
| Street Address |
5105 BOWDEN RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376049213 | Philip Austin Carnevale | Nurse Practitioner | 5105 Bowden Rd, Jacksonville, FL 32216 | 2018-03-31 |
| 1376095729 | Liquid Logic Rx | Point of Service | 5105 Bowden Rd, Jacksonville, FL 32216-5907 | 2016-11-02 |
| 1194892869 | Laura June Solon Baker | Anesthesiology | 5105 Bowden Rd, Jacksonville, FL 32216-5907 | 2006-11-29 |
| 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 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203451 | Brittany Clark | Anesthesiology | 220 Riverside Ave Unit 328, Jacksonville, FL 32202-4953 | 2019-09-11 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1699223453 | James Dennis Beeson | Anesthesiology | 9289 Rosewater Lane, Jacksonville, FL 32256 | 2016-09-21 |
| 1598129314 | Kaitlin Kamrowski | Anesthesiology | 653 West 8th Street, Faculty Clinic Building, 3rd Floor, Box Fc-12, Jacksonville, FL 32209 | 2016-04-07 |
| 1487017786 | Guy Kositratna | Anesthesiology | 653 West 8th Street, Jacksonville, FL 32209-6511 | 2016-04-04 |
| 1942603899 | Pain Medicine Physicians of Jacksonville, LLC | Anesthesiology | 10250 Normandy Boulevard, Suite 702, Jacksonville, FL 32221 | 2014-10-07 |
| 1063707784 | Chase Alan Kissling | Anesthesiology | Attn: Dmhrsi Team Bldg H 2005 Knight Lane, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2011-06-10 |
| 1770804916 | Michael George Zakaroff | Anesthesiology | 2005 Knight Lane Bldh H, Navy Medicine Support Command Attn: Medical Staff Servi, Jacksonville, FL 32212-0140 | 2010-06-22 |
| 1427283522 | Darryl Crosswright Hall | Anesthesiology | 653 W. Eighth St., Faculty Clinic 3rd Floor, Jacksonville, FL 32209 | 2009-05-19 |
| 1578707071 | Puja Roy | Anesthesiology | 8268 Ashworth Ct, Jacksonville, FL 32256-3638 | 2009-04-28 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.