GOTTSKALK BJORNSSON (NPI# 1376974485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376974485 |
Entity Type | Individual |
Full Name | GOTTSKALK BJORNSSON |
Credential | MD |
Practice Address |
363 Creedmoor Rd Jacksonville NC 28546-6035 |
Practice Telephone | 9103301050 |
Mailing Telephone | 9103301050 |
Enumeration Date | 2013-11-29 |
Last Update Date | 2013-11-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
0098-01599 | NC | Allopathic & Osteopathic Physicians |
Street Address |
363 CREEDMOOR RD |
City | JACKSONVILLE |
State | NC |
Zip Code | 28546-6035 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
Find all providers in zip 28546 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
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 |
---|---|---|---|---|
1275890402 | Amit K Babbar | Internal Medicine | 1325 San Marco Blvd Ste 300, Jacksonville, FL 32207-8567 | 2012-04-12 |
1902178254 | Dennis J Mcdonagh M D P A | Internal Medicine | 2636 Forest Cir, Jacksonville, FL 32257-5612 | 2012-02-02 |
1386891042 | Leo F Black | Internal Medicine | 8244 Shady Grove Rd, Jacksonville, FL 32256-7361 | 2008-08-25 |
1376744581 | Margaret Davis Hovda | Internal Medicine | 425 North Lee Street, Suite 203, Jacksonville, FL 32204-1128 | 2007-05-29 |
1598781643 | Daniel S Wyzan | Internal Medicine | 425 North Lee St, Suite 203, Jacksonville, FL 32204-1128 | 2006-07-14 |
1619962230 | Bruce Mitchell Yergin | Internal Medicine | 3627 University Blvd S Ste 300, Jacksonville, FL 32216 | 2005-09-20 |
1649782392 | Emed Urgent and Primary Care Pa | Internal Medicine | 2624 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
1750764668 | David Abia Trujillo | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-07-09 |
1326433624 | Scott Richard Steinberg | Internal Medicine | 655 W 8th St, Jacksonville, FL 32209-6511 | 2015-04-02 |
1134547250 | Hassan Baig | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2014-04-05 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 28546 |
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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.