DR. MICHAEL PAUL BORN (NPI# 1548259062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548259062 |
Entity Type | Individual |
Full Name | DR. MICHAEL PAUL BORN |
Credential | M.D. |
Practice Address |
4500 San Pablo Rd S Jacksonville FL 32224-1865 |
Practice Telephone | 9049532000 |
Mailing Telephone | 9049532000 |
Enumeration Date | 2005-10-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
ME26652 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUECROSS/BLUESHIELD | 79014 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275505141 | Michael William Born | Plastic Surgery | 2295 South George St, York, PA 17403 | 2006-02-06 |
1245278258 | Michael J Born | Emergency Medicine | 10306 Eaton Pl, Suite 180, Fairfax, VA 22030-2201 | 2006-06-02 |
1811996317 | Michael Born | Nurse Anesthetist, Certified Registered | 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 | 2005-07-18 |
Street Address |
4500 SAN PABLO RD S |
City | JACKSONVILLE |
State | FL |
Zip Code | 32224-1865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891799136 | Richard Clarke Agnew | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-06-01 |
1427657964 | Brianna Iannarelli | Nurse Anesthetist, Certified Registered | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-24 |
1538768981 | Heather Anne Dahlen | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-17 |
1578161717 | Szilvia Fortner | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-10 |
1265049464 | Carolyn Gonzalez | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-09-30 |
1467065748 | Ifeloluwa A Olutola | Family Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-26 |
1366055568 | Krina Dipak Vyas | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-26 |
1356954911 | Haleigh Diane Shelton | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-24 |
1215548805 | Victoria Zeilinger Reams | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-16 |
1558971382 | Rachel Marie Hannon | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
Find all providers in zip 32224 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649737552 | Joe Walker Bancroft Jr. | Obstetrics & Gynecology | 4618 Long Bow Rd. South, Jacksonville, FL 32210-8144 | 2019-02-27 |
1255865036 | Dr. Frances Renee Montgomery | Obstetrics & Gynecology | 1432 Braden St Ste B, Jacksonville, AR 72076-3721 | 2017-04-18 |
1891012365 | Jax Ob-gyn Pa | Obstetrics & Gynecology | 4123 University Blvd S., Suite D, Jacksonville, FL 32216 | 2010-04-23 |
1801044268 | All Women's Health Center of Jacksonville, Inc. | Obstetrics & Gynecology | 4331 University Blvd S, Jacksonville, FL 32216-4909 | 2008-08-28 |
1699985457 | Leslie Beadling | Obstetrics & Gynecology | 8160 Summit Ridge Ln, Jacksonville, FL 32256-7149 | 2007-05-23 |
1982700746 | Donald S Freedman Md Pa | Obstetrics & Gynecology | 480 Busch Dr, Jacksonville, FL 32218-5553 | 2006-09-16 |
1043313653 | The Womens Clinic | Obstetrics & Gynecology | 219 Station Street, Jacksonville, NC 28546 | 2006-09-07 |
1285677849 | Kenneth Kushner | Obstetrics & Gynecology | 5111 Baymeadows Rd, Suite 8, Jacksonville, FL 32217-4800 | 2006-06-13 |
1982665279 | Kristin P. Fernandez | Obstetrics & Gynecology | 14534 Old Saint Augustine Rd Ste 3430, Jacksonville, FL 32258-2460 | 2006-03-28 |
1790778025 | Amy E Hearne | Obstetrics & Gynecology | 7051 Southpoint Pkwy S, Suite 200, Jacksonville, FL 32216-8713 | 2005-08-23 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32224 |
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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.