DR. JIBRI M WIGGINS (NPI# 1477618122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477618122 |
Entity Type | Individual |
Full Name | DR. JIBRI M WIGGINS |
Credential | MD |
Practice Address |
15255 Max Leggett Pkwy Jacksonville FL 32218-7273 |
Mailing Address |
Po Box 44008 Jacksonville FL 32231-4008 |
Practice Telephone | 9043831000 |
Practice Fax Number | 9043831412 |
Mailing Telephone | 9043831000 |
Mailing Fax Number | 9043831412 |
Enumeration Date | 2006-12-23 |
Last Update Date | 2015-12-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | ME125439 | FL | Allopathic & Osteopathic Physicians |
N | 207V00000X | Obstetrics & Gynecology | 00025592 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 015845600 | 05 |
Street Address |
15255 MAX LEGGETT PKWY |
City | JACKSONVILLE |
State | FL |
Zip Code | 32218-7273 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194727677 | George Michael Hagy | Pharmacist | 15255 Max Leggett Pkwy, Jacksonville, FL 32218 | 2005-08-13 |
1417558982 | Alexia King | Registered Nurse | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2020-11-02 |
1013524685 | Trevena Nicole Sanders | Nurse Practitioner | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2020-09-28 |
1801447685 | Genelyn M Baroso | Pharmacist | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2019-09-24 |
1235789546 | Paige Alyssa Bishop | Pharmacist | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2019-09-18 |
1841778461 | Hospitalist Medicine Physicians of Florida - Jacksonville, LLC | Internal Medicine | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2018-08-06 |
1013419282 | Transcendent Multiservice Assist, LLC | Registered Nurse | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2018-03-05 |
1407360894 | Brittany Yonker Allsup | Nurse Practitioner | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2017-11-22 |
1609387174 | Lacy Danielle Gulledge | Nurse Practitioner | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2017-10-23 |
1578008132 | Oanh Yvonne Green | Nurse Anesthetist, Certified Registered | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2017-01-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
Find all providers in zip 32218 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396108528 | Michelle Melanson | Obstetrics & Gynecology | 14546 Old Saint Augustine Rd Ste 305-311, Jacksonville, FL 32258-5468 | 2016-04-04 |
1316387947 | Alexander David Raw | Obstetrics & Gynecology | 1600 W Walnut St Bldg 3, Jacksonville, IL 62650-1136 | 2013-06-27 |
1912260613 | Paulami Guha | Obstetrics & Gynecology | 836 Prudential Dr Ste 1600, Jacksonville, FL 32207 | 2012-06-19 |
1689963696 | Dawn M Mormak | Obstetrics & Gynecology | 836 Prudential Dr Ste 1506, Jacksonville, FL 32207-8342 | 2011-03-30 |
1710210745 | Niamh A Condon | Obstetrics & Gynecology | 653-1 W 8th St # L-17, Jacksonville, FL 32209-6511 | 2009-09-09 |
1356531396 | Coastal Ob Gyn and Infertility | Obstetrics & Gynecology | 114a Memorial Dr, Jacksonville, NC 28546-6328 | 2007-07-26 |
1871614057 | Aida A. Malonzo | Obstetrics & Gynecology | 1512 Palm Ave, Jacksonville, FL 32207-2916 | 2007-04-03 |
1487717864 | Geoffrey Gillen | Obstetrics & Gynecology | 653 W 8th St # L17, Jacksonville, FL 32209-6511 | 2006-12-18 |
1306916580 | Jason R Thompson | Obstetrics & Gynecology | 6885 Belfort Oaks Place Ste 210, Jacksonville, FL 32216 | 2006-11-08 |
1154400554 | Charles Burk | Obstetrics & Gynecology | 203 Nacogdoches St Ste 210, Jacksonville, TX 75766-2455 | 2006-11-04 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32218 |
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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.