LEONARD JOEL SPILLERT (NPI# 1326007139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326007139 |
| Entity Type | Individual |
| Full Name | LEONARD JOEL SPILLERT |
| Credential | M.D. |
| Practice Address |
4217 Baymeadows Rd Suite 3 Jacksonville FL 32217-4676 |
| Practice Telephone | 9043327431 |
| Practice Fax Number | 9043327408 |
| Mailing Telephone | 9043327431 |
| Mailing Fax Number | 9043327408 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2013-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME17473 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 71614 | 01 |
| Street Address |
4217 BAYMEADOWS RD SUITE 3 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217-4676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104227628 | Olin Mauldin M.d., LLC | Psychiatry & Neurology | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2014-09-16 |
| 1629402441 | Anneline Kingsley, Md P.a. | Psychiatry & Neurology | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2013-08-28 |
| 1396088183 | Amole Care LLC | Nurse Practitioner | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2013-04-01 |
| 1063752491 | Sss Healthcare Services, L.L.C. | Nurse Practitioner | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2013-02-21 |
| 1407133663 | Katscott LLC | Nurse Practitioner | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2011-11-15 |
| 1427341478 | J M Tener, Np, Pa | Nurse Practitioner | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2011-05-24 |
| 1952693103 | Katrina B Sell | Nurse Practitioner | 4217 Baymeadows Rd, Suite 2, Jacksonville, FL 32217-4676 | 2011-05-06 |
| 1306136908 | Kristin Kay Jones Inc | Nurse Practitioner | 4217 Baymeadows Rd, Suite, Jacksonville, FL 32217-4676 | 2011-04-15 |
| 1750553160 | Gomezcare Inc | Psychiatry & Neurology | 4217 Baymeadows Rd, Suite #3, Jacksonville, FL 32217-4676 | 2008-03-25 |
| 1811929532 | Jose Maria Gomez | Psychiatry & Neurology | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680220 | Florida Injury & Regenerative Medicine, Pllc | General Practice | 8640 Philips Hwy Ste 10, Jacksonville, FL 32256-1208 | 2020-05-15 |
| 1689296808 | Sajid Khan Md LLC | General Practice | 4600 Touchton Rd E Ste 1150, Jacksonville, FL 32246-1542 | 2020-05-11 |
| 1396392767 | Yurelsy Galvez Ricardo | General Practice | 725 Middle Branch Way, Jacksonville, FL 32259-6201 | 2019-08-21 |
| 1639721772 | Deborah Brabham | General Practice | 10990 Lydia Estates Dr E, Jacksonville, FL 32218-6940 | 2019-07-09 |
| 1851868459 | Nursing On Demand Inc | General Practice | 1260 Mcduff Ave S # 3, Jacksonville, FL 32205-8030 | 2018-11-01 |
| 1295202984 | Summit Integrative Health, LLC | General Practice | 12627 San Jose Blvd Ste 305, Jacksonville, FL 32223-8639 | 2018-10-31 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1255859641 | Mcgowan Medical Centers, Pa | General Practice | 3021 N Main St, Jacksonville, FL 32206-2122 | 2017-09-06 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1700247863 | Emily Calhoun | General Practice | 554 Kelly Ln, Jacksonville, FL 32234-3049 | 2016-03-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32217 |
Please comment or provide details below to improve the information on LEONARD JOEL SPILLERT.
| 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.