DR. JOHN KALAM (NPI# 1417942194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417942194 |
| Entity Type | Individual |
| Full Name | DR. JOHN KALAM |
| Credential | MD |
| Practice Address |
14546 Old Saint Augustine Rd Suite 211 Jacksonville FL 32258-5468 |
| Practice Telephone | 9042685590 |
| Practice Fax Number | 9042688305 |
| Mailing Telephone | 9042685590 |
| Mailing Fax Number | 9042688305 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2013-01-18 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME64864 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
14546 OLD SAINT AUGUSTINE RD SUITE 211 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-5468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154804 | Kyle G Corbin | Physical Therapist | 14546 Old Saint Augustine Rd, Suite 209, Jacksonville, FL 32258-5468 | 2005-06-14 |
| 1881208593 | Aaron Bailey | Registered Nurse | 14546 Old Saint Augustine Rd, Jacksonville, FL 32258-5468 | 2020-09-01 |
| 1801354675 | Morgen Rachel Fletcher | Physician Assistant | 14546 Old Saint Augustine Rd, Jacksonville, FL 32258-5468 | 2019-03-11 |
| 1467988246 | Fridah Kirimi | Nurse Practitioner | 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468 | 2017-05-11 |
| 1275901878 | Paul David Provenzano | Physical Therapist | 14546 Old Saint Augustine Rd, Jacksonville, FL 32258-5468 | 2015-09-14 |
| 1992188825 | Julianne Bryce | Physical Therapist | 14546 Old Saint Augustine Rd, Suite 209, Jacksonville, FL 32258-5468 | 2015-07-09 |
| 1174954630 | Ashley B Burton | Social Worker | 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468 | 2013-12-10 |
| 1376895888 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468 | 2012-10-08 |
| 1245591114 | Amber Rose Schueler Whitehead | Massage Therapist | 14546 Old Saint Augustine Rd, Suite 403, Jacksonville, FL 32258-5468 | 2012-06-06 |
| 1790051845 | Baptist Cardiology, Inc. | Internal Medicine | 14546 Old Saint Augustine Rd, Suite 103, Jacksonville, FL 32258-5468 | 2012-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676186 | Sarah Colleen Tapscott | Family Medicine | 1908 Mill Creek Rd, Jacksonville, FL 32211-5052 | 2020-07-20 |
| 1790303170 | Samantha L Scott | Family Medicine | 516 Pierce Ln, Jacksonville, TX 75766-4546 | 2020-07-11 |
| 1689298689 | Meridian Spine and Joint, Inc | Family Medicine | 9770 Old Baymeadows Rd Ste 139, Jacksonville, FL 32256-7986 | 2020-06-04 |
| 1154942563 | Families First Medical Group | Family Medicine | 12086 Fort Caroline Rd Ste 103, Jacksonville, FL 32225-2688 | 2020-04-27 |
| 1598396392 | Pareto Population Health Management Practice Pllc | Family Medicine | 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 | 2020-01-30 |
| 1942862206 | Cindy S Wright Do Pllc | Family Medicine | 12627 San Jose Blvd Ste 902, Jacksonville, FL 32223-8645 | 2019-07-07 |
| 1942868377 | Pain Spine & Wellness LLC | Family Medicine | 9770 Old Baymeadows Rd Ste 141, Jacksonville, FL 32256-7986 | 2019-05-31 |
| 1669035705 | Kathy Jo Daniels | Family Medicine | 10457 Wellington Springs Way, Jacksonville, FL 32221-1175 | 2019-04-15 |
| 1821579103 | Tiffany N Major | Family Medicine | 5194 Johnson Creek Dr, Jacksonville, FL 32218-9308 | 2018-08-24 |
| 1568987360 | Main Street Health LLC | Family Medicine | 2 Shircliff Way Ste 620, Jacksonville, FL 32204-4762 | 2017-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
Please comment or provide details below to improve the information on DR. JOHN KALAM.
| 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.