MICHAEL J PETR (NPI# 1477754513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477754513 |
| Entity Type | Individual |
| Full Name | MICHAEL J PETR |
| Credential | MD, PHD |
| Practice Address |
7807 Baymeadows Rd E Ste 208 Jacksonville FL 32256-9666 |
| Mailing Address |
800 Prudential Dr Tower B, 11th Floor Jacksonville FL 32207-8202 |
| Practice Telephone | 9044469991 |
| Mailing Telephone | 9043886518 |
| Mailing Fax Number | 9043841005 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2018-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | ME98433 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 749600040A | 05 | |
| FL | 2784815-00 | 05 |
| Street Address |
7807 BAYMEADOWS RD E STE 208 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-9666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346757705 | Eva M. Kellogg | Nurse Practitioner | 7807 Baymeadows Rd E Ste 208, Jacksonville, FL 32256 | 2018-01-08 |
| 1336651009 | Jacksonville Brain & Spine Pllc | Neurological Surgery | 7807 Baymeadows Rd E Ste 208, Jacksonville, FL 32256-9666 | 2017-11-02 |
| 1326305608 | Gregory Alan Norris Jr. | Nurse Practitioner | 7807 Baymeadows Rd E Ste 208, Jacksonville, FL 32256-9666 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1013436252 | Ryan N Pafford | Neurological Surgery | University of Florida Health, 580 West 8th Street, Tower 1, 8th Floor, Jacksonville, FL 32209 | 2017-09-19 |
| 1144586116 | Anil Kumar Roy | Neurological Surgery | 800 Prudential Dr Fl B11, Jacksonville, FL 32207-8202 | 2012-04-04 |
| 1437487709 | Andrew Brian Shaw | Neurological Surgery | 800 Prudential Dr Ste 1100, Jacksonville, FL 32207-8202 | 2009-11-25 |
| 1790965325 | Stephen Scott Scibelli | Neurological Surgery | 3627 University Blvd S Suite 355, Memorial Neurosurgery Group, Jacksonville, FL 32216 | 2007-11-12 |
| 1063500015 | Amos Olabisi Dare | Neurological Surgery | 544 Cesery Blvd, Suite 310, Jacksonville, FL 32211 | 2006-10-11 |
| 1104911601 | Neurosurgery Consultants Pa | Neurological Surgery | 215 Station Street, Jacksonville, NC 28546 | 2006-10-03 |
| 1255373528 | Kaveh Barami | Neurological Surgery | 3627 University Boulevard South, Suite 355, Jacksonville, FL 32216-8030 | 2006-06-12 |
| 1295773943 | Sean Hsu | Neurological Surgery | 215 Station St, Jacksonville, NC 28546-6304 | 2006-06-03 |
| 1952390312 | Kent Christopher New | Neurological Surgery | 4205 Belfort Road, Suite 3075 Joe Adams Building, Jacksonville, FL 32216 | 2005-10-18 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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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.