MICHELE ST MARTIN HARGREAVES (NPI# 1457326472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457326472 |
| Entity Type | Individual |
| Full Name | MICHELE ST MARTIN HARGREAVES |
| Other Name | MICHELE BAUCHET ST MARTIN |
| Credential | MD |
| Practice Address |
4203 Belfort Rd Ste 340 Jacksonville FL 32216-1409 |
| Mailing Address |
11945 San Jose Blvd Suite 300 Jacksonville FL 32223-1613 |
| Practice Telephone | 9048800911 |
| Practice Fax Number | 9048809388 |
| Mailing Telephone | 9043961725 |
| Mailing Fax Number | 9043991717 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2016-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD425320 | PA | Other Service Providers |
| Y | 207Y00000X | Otolaryngology | ME98473 | FL | Allopathic & Osteopathic Physicians |
| N | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
ME98473 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 278642700 | 05 |
| Street Address |
4203 BELFORT RD STE 340 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750364667 | Christina Marie Longobucco | Physical Therapist | 4203 Belfort Rd, Jacksonville, FL 32216-1409 | 2005-11-23 |
| 1467087346 | Kathryn Pitocchelli | Dietitian, Registered | 4203 Belfort Rd, Jacksonville, FL 32216-1409 | 2020-03-11 |
| 1215289723 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 4203 Belfort Rd, Suite 215, Jacksonville, FL 32216-1409 | 2012-10-08 |
| 1003171463 | Kathryn Elizabeth Melko | Dietitian, Registered | 4203 Belfort Rd, Suite 302, Jacksonville, FL 32216-1409 | 2012-07-11 |
| 1164742144 | Nitika Malhotra | Internal Medicine | 4203 Belfort Rd, Suite 315, Jacksonville, FL 32216-1409 | 2010-06-01 |
| 1386887560 | Angela Kathleen Stalvey | Nurse Practitioner | 4203 Belfort Rd, Suite 204, Jacksonville, FL 32216-1471 | 2009-04-17 |
| 1912163288 | Monica Eve Major-harris | Nurse Practitioner | 4203 Belfort Rd, Suite 204, Jacksonville, FL 32216-1409 | 2008-08-05 |
| 1194983718 | Andrea Pierce Moore | Audiologist | 4203 Belfort Rd, Suite 340, Jacksonville, FL 32216-1409 | 2008-05-30 |
| 1659576577 | Integrated Community Oncology Network LLC | Internal Medicine | 4203 Belfort Rd, Suite 215, Jacksonville, FL 32216-1409 | 2007-06-20 |
| 1811074495 | Mary Joanne Schuh | Audiologist | 4203 Belfort Rd, Suite 340, Jacksonville, FL 32216-1409 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1740562875 | Onslow Ambulatory Services, Inc. | Otolaryngology | 55 Office Park Dr, Jacksonville, NC 28546-7327 | 2011-09-14 |
| 1225317217 | Joseph Fares Md Pa | Otolaryngology | 4306 University Blvd S, Jacksonville, FL 32216-4910 | 2011-08-09 |
| 1720394695 | Rodolfo Enrique Manosalva | Otolaryngology | 554 Keily St., Jacksonville, FL 32212-5000 | 2010-08-29 |
| 1700060555 | Iman Naseri | Otolaryngology | 6817 Southpoint Parkway, Suite 502, Jacksonville, FL 32216-6289 | 2007-12-27 |
| 1366504342 | Dayananda Mulur Shetty | Otolaryngology | 9831 Del Webb Parkway, #2305, Jacksonville, FL 32256-5807 | 2006-12-15 |
| 1255406898 | Justin Randolph Moy | Otolaryngology | 14546 Old Saint Augustine Rd Ste 301, Jacksonville, FL 32258-5472 | 2006-11-21 |
| 1427122118 | Joseph Fares | Otolaryngology | 4306 University Blvd South, Jacksonville, FL 32216 | 2006-11-17 |
| 1952470874 | Lawrence Albert Lisska | Otolaryngology | 4130 Salisbury Rd, Suite 1900, Jacksonville, FL 32216-8031 | 2006-11-07 |
| 1558376004 | Advanced Otolaryngology Services Pa | Otolaryngology | 3627 University Blvd S Ste 210, Jacksonville, FL 32216-4256 | 2006-07-30 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.