SEABURY D STONEBURNER JR MD PA (NPI# 1285880534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285880534 |
| Entity Type | Organization |
| Organization Name | SEABURY D STONEBURNER JR MD PA |
| Practice Address |
3 Shircliff Way Suite 658 Jacksonville FL 32204-4757 |
| Practice Telephone | 9043899681 |
| Practice Fax Number | 9043897975 |
| Mailing Telephone | 9043899681 |
| Mailing Fax Number | 9043897975 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-12-02 |
| Authorized Official Name | DR. SEABURY D STONEBURNER JR. (OWNER) |
| Authorized Official Telephone | 9043899681 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 058252200 | 05 |
| Street Address |
3 SHIRCLIFF WAY SUITE 658 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336350 | Walter R Gilbert Jr Md Pa | Clinic/Center | 3 Shircliff Way, Ste 122, Jacksonville, FL 32204-4757 | 2005-06-15 |
| 1720602535 | Kristen Marquardt | Nurse Practitioner | 3 Shircliff Way, Dillon Building Suite 625, Jacksonville, FL 32204 | 2020-06-08 |
| 1851713887 | Janet A Betchkal Md Pa | Ophthalmology | 3 Shircliff Way, Suite 134, Jacksonville, FL 32204-4757 | 2014-01-10 |
| 1669721155 | Amanda B Peacock | Nurse Practitioner | 3 Shircliff Way, Suite 714, Jacksonville, FL 32204-4757 | 2012-08-30 |
| 1093089716 | Jennifer Farhat Marzoug | Nurse Practitioner | 3 Shircliff Way, Suite 400, Jacksonville, FL 32204-4757 | 2012-02-27 |
| 1962709311 | William Alexander Evans | Pharmacist | 3 Shircliff Way, Jacksonville, FL 32204-4757 | 2011-02-22 |
| 1881912061 | Taolin C Jen Md Pa | Clinic/Center | 3 Shircliff Way, Suite 614, Jacksonville, FL 32204-4776 | 2010-05-12 |
| 1124273529 | Sunshine Spine and Pain, Pa | Physical Medicine & Rehabilitation | 3 Shircliff Way, Suite 610, Jacksonville, FL 32204-4757 | 2008-11-26 |
| 1013161223 | Mielke Group, Inc. | Clinical Neuropsychologist | 3 Shircliff Way, Suite #333, Jacksonville, FL 32204-4757 | 2008-11-14 |
| 1215189238 | George L Mayer Md | Obstetrics & Gynecology | 3 Shircliff Way, Suite 625, Jacksonville, FL 32204-4757 | 2008-10-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629499090 | Pro-med Collectors LLC | Internal Medicine | 1907 Atlantic Blvd, Jacksonville, FL 32207-3466 | 2014-01-02 |
| 1821275330 | Nephrology Consultants of Jacksonville LLC | Internal Medicine | 3129 Hendricks Ave, Jacksonville, FL 32207-4217 | 2008-01-28 |
| 1457455719 | Andrew Wasiluk | Internal Medicine | 3129 Hendricks Avenue, Jacksonville, FL 32207-4217 | 2006-09-08 |
| 1811924210 | Naeem Haider | Internal Medicine | 3599 University Blvd So, Suite 805, Jacksonville, FL 32216 | 2006-06-28 |
| 1265474209 | Koithara Varkey Thomas | Internal Medicine | Eastern Nephrology Associates, 277 Memorial Drive, Jacksonville, NC 28546-6333 | 2006-06-12 |
| 1457917304 | Cardiorenal Therapeutics LLC | Internal Medicine | 6817 Southpoint Pkwy Ste 203, Jacksonville, FL 32216-6286 | 2019-05-16 |
| 1619434586 | Md. Irtiza Hasan | Internal Medicine | 655 W 8th St Fl 4, Jacksonville, FL 32209-6511 | 2019-02-26 |
| 1578058939 | Nephrology Consultants of Jacksonville LLC | Internal Medicine | 3129 Hendricks Ave, Jacksonville, FL 32207-4217 | 2018-06-28 |
| 1396283628 | A Abdalla, Inc | Internal Medicine | 5685 Norwood Ave, Jacksonville, FL 32208-5012 | 2017-02-07 |
| 1982141412 | Universal Kidney Care LLC | Internal Medicine | 10752 Deerwood Park Blvd Ste 100, Jacksonville, FL 32256-4846 | 2017-01-23 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.