DR. MARCHANT WOODHOUSE VAN GERPEN (NPI# 1396791794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396791794 |
| Entity Type | Individual |
| Full Name | DR. MARCHANT WOODHOUSE VAN GERPEN |
| Credential | MD |
| Practice Address |
1200 Riverplace Blvd Suite 620 Jacksonville FL 32207-9046 |
| Practice Telephone | 9043966620 |
| Practice Fax Number | 9043966528 |
| Mailing Telephone | 9043966620 |
| Mailing Fax Number | 9043966528 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2011-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
ME 94702 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1200 RIVERPLACE BLVD SUITE 620 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-9046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902807381 | Aftab Ahmad | Internal Medicine | 1200 Riverplace Blvd, Suite # 620, Jacksonville, FL 32207-9046 | 2005-08-09 |
| 1871996835 | Rebecca Lynn Mackowski | Nurse Practitioner | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2014-10-06 |
| 1063812709 | Tatyana Solonskyi | Nurse Practitioner | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2014-08-29 |
| 1306252408 | Lori Lynn Austin | Nurse Practitioner | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2014-07-09 |
| 1306256938 | Doan Nguyen | Physician Assistant | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2014-05-05 |
| 1427394345 | Kelli Marie Lamb | Physician Assistant | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2012-12-20 |
| 1578816435 | Desiree Ballo Touvoli | Nurse Practitioner | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2012-10-17 |
| 1629320395 | Kerstin Ann Schlachter | Physician Assistant | 1200 Riverplace Blvd, 620, Jacksonville, FL 32207-9046 | 2012-10-05 |
| 1538416680 | Robert Barrett | Nurse Practitioner | 1200 Riverplace Blvd, #620, Jacksonville, FL 32207-9046 | 2012-08-08 |
| 1043565971 | Naveed Ahmed | Internal Medicine | 1200 Riverplace Blvd, Suite 620, Jacksonville, FL 32207-9046 | 2012-07-17 |
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| 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 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1457497828 | Nandita Joshi Jones | Psychiatry & Neurology | 5200 Belfort Rd Ste 420, Jacksonville, FL 32256-6040 | 2007-01-30 |
| 1629402441 | Anneline Kingsley, Md P.a. | Psychiatry & Neurology | 4217 Baymeadows Rd, Suite 3, Jacksonville, FL 32217-4676 | 2013-08-28 |
| 1750553160 | Gomezcare Inc | Psychiatry & Neurology | 4217 Baymeadows Rd, Suite #3, Jacksonville, FL 32217-4676 | 2008-03-25 |
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| 1982205290 | Slrc Miami Medical LLC | Psychiatry & Neurology | 601 Brickell Key Dr, Miami, FL 33131-2662 | 2020-11-03 |
| 1790248466 | Waves of Wellness | Psychiatry & Neurology | 10 Se Central Pkwy Ste 225, Stuart, FL 34994-5920 | 2019-04-10 |
| 1548753718 | Good Health Outcomes, Inc. | Psychiatry & Neurology | 1200 4th St Ste 308, Key West, FL 33040-3763 | 2018-06-12 |
| 1013374354 | New Horizons Mental Health LLC | Psychiatry & Neurology | 12130 Cortez Blvd, Brooksville, FL 34613-5575 | 2016-01-18 |
| 1174913958 | Lee County Associates In Psychiatry | Psychiatry & Neurology | 1303 Homestead Rd N Ste 103, Lehigh Acres, FL 33936-6049 | 2015-01-30 |
| 1558609156 | Milagros C. Pescador | Psychiatry & Neurology | 5208 Touraine Dr, Tallahassee, FL 32308-5934 | 2013-01-17 |
| 1992063002 | Marilyn Horvath Md Pa | Psychiatry & Neurology | 4317 Sw 186th Ave, Miramar, FL 33029-2772 | 2012-04-26 |
| 1295044873 | Kelly L Dunn Md Pa | Psychiatry & Neurology | 1696 W Hibiscus Blvd Ste A, Melbourne, FL 32901-2638 | 2010-09-30 |
| 1083928527 | Gerocare Consulting LLC | Psychiatry & Neurology | 17332 Garden Heath Ct, Land O Lakes, FL 34638-8089 | 2010-07-26 |
| 1417287855 | Emerald Coast Wellness Center, LLC | Psychiatry & Neurology | 138 Baywind Dr, Niceville, FL 32578-4800 | 2010-01-07 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.