GIRISH S SHROFF


Address: 820 Prudential Dr Ste 112, Credentialing Department, Jacksonville, FL 32207-8204
Phone: 9043965996

GIRISH S SHROFF (NPI# 1336105519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336105519
Entity Type Individual
Full Name GIRISH S SHROFF
Credential MD
Practice Address 820 Prudential Dr Ste 112
Credentialing Department
Jacksonville
FL 32207-8204
Mailing Address Po Box 43667
Jacksonville
FL 32203-3667
Practice Telephone 9043965996
Practice Fax Number 9043982480
Mailing Telephone 9043983760
Mailing Fax Number 9043982480
Enumeration Date 2006-04-25
Last Update Date 2015-11-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
ME68857 FL Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
ME68857 FL Allopathic & Osteopathic Physicians
N 207UN0901X Nuclear Medicine
Specialization: Nuclear Cardiology
ME68857 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 379675200 05
FL RAILROAD MEDICARE 060071305 01

Other Providers GIRISH SHROFF

NPI Name Taxonomy Address Enumeration
1194926741 Girish S Shroff Radiology 1515 Holcombe Blvd, Houston, TX 77030-4009 2007-05-30
1316000433 Girish I Shroff Internal Medicine 6025 Professional Pkwy, Suite 200, Douglasville, GA 30134-5609 2006-12-19

Office Location

Street Address 820 PRUDENTIAL DR STE 112
CREDENTIALING DEPARTMENT
City JACKSONVILLE
State FL
Zip Code 32207-8204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184680985 Paul H Dillahunt II Internal Medicine 820 Prudential Dr Ste 112, Credentialing Department, Jacksonville, FL 32207-8204 2006-04-21
1649654203 Denita Raymonde Moorer Nurse Practitioner 820 Prudential Dr Ste 112, Jacksonville, FL 32207-8204 2015-07-14
1780640953 Salvatore D Diloreto Internal Medicine 820 Prudential Dr Ste 112, Credentialing Department, Jacksonville, FL 32207-8204 2006-04-25

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

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)

Providers in the same taxonomy and city

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

Competitor

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City JACKSONVILLE
Zip Code 32207

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Dataset Information

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.

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