AMERICAN ACCESS CARE OF JACKSONVILLE ASC LLC (NPI# 1578094462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578094462 |
| Entity Type | Organization |
| Organization Name | AMERICAN ACCESS CARE OF JACKSONVILLE ASC LLC |
| Other Organization Name | AZURA SURGERY CENTER JACKSONVILLE |
| Practice Address |
2416 Dunn Ave Jacksonville FL 32218-4604 |
| Mailing Address |
40 Valley Stream Pkwy Suite 100 Malvern PA 19355-1407 |
| Practice Telephone | 9043533664 |
| Mailing Telephone | 6106448900 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | JEFFREY E. SNODGRASS (PRESIDENT/OFFICER) |
| Authorized Official Telephone | 6106448900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 101656000 | 05 |
| Other Name | Type Code |
|---|---|
| Azura Surgery Center Jacksonville | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Lomax St, Suite 100a, Jacksonville, FL 322043927 | 9043533664 |
| Street Address |
2416 DUNN AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003026329 | Rishi Norman Razdan | Radiology | 2416 Dunn Ave, Jacksonville, FL 32218-4604 | 2007-05-23 |
| 1669771168 | American Access Care of Jacksonville LLC | Radiology | 2416 Dunn Ave, Jacksonville, FL 32218-4604 | 2011-03-23 |
| 1659532174 | Rajiv Verma | Radiology | 2416 Dunn Ave, Jacksonville, FL 32218-4604 | 2008-06-17 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1104485440 | Surgcenter of Greater Jacksonville, LLC | Clinic/Center | 9143 Philips Hwy Ste 500, Jacksonville, FL 32256-1335 | 2019-06-11 |
| 1366982845 | Jacksonville Endoscopy Centers LLC | Clinic/Center | 1610 Barrs St Ste B, Jacksonville, FL 32204-4569 | 2017-03-02 |
| 1952771602 | Andrews Surgery Center At Jacksonville Medplex LLC | Clinic/Center | 9726 Touchton Road, Jacksonville, FL 32246-8227 | 2015-10-06 |
| 1770620742 | Samuel Wells Surgicenter Inc | Clinic/Center | 3599 University Blvd S Ste 604, Jacksonville, FL 32216-4234 | 2007-01-31 |
| 1093772667 | Medical Partners Surgery Center LLC | Clinic/Center | 4545 Emerson Expressway, Jacksonville, FL 32207-4918 | 2006-04-27 |
| 1215990627 | Westside Surgery Center Ltd | Clinic/Center | 2731 Park St, Jacksonville, FL 32205-7607 | 2006-04-07 |
| 1134182546 | Jacksonville Surgery Center, Ltd | Clinic/Center | 7021 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2006-04-07 |
| 1588633481 | Bgc Holdings Inc | Clinic/Center | 1610 Barrs St, Jacksonville, FL 32204-4569 | 2006-03-15 |
| 1922085059 | Asc North LLP | Clinic/Center | 590 Dundas Dr, Jacksonville, FL 32218-5579 | 2005-12-29 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
Please comment or provide details below to improve the information on AMERICAN ACCESS CARE OF JACKSONVILLE ASC LLC.
| 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.