GAINESVILLE VAMC (NPI# 1578506655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578506655 |
| Entity Type | Organization |
| Organization Name | GAINESVILLE VAMC |
| Other Organization Name | JACKSONVILLE VA CBOC |
| Practice Address |
1536 N Jefferson St Jacksonville FL 32209-6525 |
| Mailing Address |
Po Box 140794 Orlando FL 32814-0794 |
| Practice Telephone | 8882631889 |
| Mailing Telephone | 8882631889 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jacksonville VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683257 | Gainesville Vamc | General Acute Care Hospital | 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 | 2020-06-09 |
| 1528681723 | Gainesville Vamc | Clinic/Center | 400 College Dr Ste 200, Middleburg, FL 32068-8525 | 2020-05-21 |
| 1194123430 | Gainesville Vamc | Clinic/Center | 620 Northwest 16th Street, Gainesville, FL 32601-4034 | 2014-12-19 |
| 1003214347 | Gainesville Vamc | Clinic/Center | 3401 Northwest 98th Street, Gainesville, FL 32606-5207 | 2014-12-19 |
| 1306886791 | Gainesville Vamc | Clinic/Center | 348 Enterprise Dr Ste B, Valdosta, GA 31601-5169 | 2006-06-07 |
| 1295772747 | Gainesville Vamc | Clinic/Center | 1515 E Silver Springs Blvd Ste 226, Ocala, FL 34470-6856 | 2006-06-01 |
| 1720036296 | Gainesville Vamc | Department of Veterans Affairs (VA) Pharmacy | 2181 Orange Ave E, Tallahassee, FL 32311-6144 | 2006-05-05 |
| 1437627015 | Gainesville Vamc | Clinic/Center | 484 Sw Commerce Dr, Lake City, FL 32025-1507 | 2018-11-13 |
| 1174983480 | Gainesville Vamc | Psychiatric Residential Treatment Facility | 1601 S.w. Archer Road, Gainesville, FL 32608-1197 | 2016-02-29 |
| 1376910968 | Gainesville Vamc | Clinic/Center | 1224 N Peacock Ave, Perry, FL 32347-2117 | 2015-08-31 |
| Street Address |
1536 N JEFFERSON ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508860370 | Patrick M.j. Hutton | Orthopaedic Surgery | 1536 N Jefferson St, Jacksonville, FL 32209-6525 | 2005-06-09 |
| 1407460124 | Jericho Sayoc | Optometrist | 1536 N Jefferson St, Jacksonville, FL 32209-6525 | 2020-09-01 |
| 1144830522 | Monica Michelle Bye | Nurse Practitioner | 1536 N Jefferson St, Jacksonville, FL 32209-6525 | 2020-07-31 |
| 1497390173 | Keyla A. Gammarano | Optometrist | 1536 N Jefferson St, Jacksonville, FL 32209-6525 | 2019-11-17 |
| 1053964395 | Gregory Robert Cook Jr. | Nurse Practitioner | 1536 N Jefferson St, Jacksonville, FL 32209-6525 | 2019-07-16 |
| 1114492600 | Joanne Burns | Nurse Practitioner | 1536 N Jefferson St, Jacksonville, FL 32209-6525 | 2018-10-10 |
| 1386008407 | Department of Veteran Affairs | Military Hospital | 1536 N Jefferson St, Jacksonville, FL 32209-6525 | 2016-04-06 |
| 1649631870 | Jamellia Mcfarlane | Social Worker | 1536 N Jefferson St, Jacksonville, FL 32209-6525 | 2016-03-16 |
| 1326445321 | Christine Gaylord | Registered Nurse | 1536 N Jefferson St, Jacksonville, FL 32209-6525 | 2014-11-20 |
| 1861821381 | Jess Alexander Wright | Physical Therapist | 1536 N Jefferson St, Jacksonville, FL 32209-6525 | 2013-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659879138 | Fayetteville Vamc | Clinic/Center | 4 Josh Ct, Jacksonville, NC 28546-0052 | 2018-01-30 |
| 1124422308 | Fayetteville Vamc | Clinic/Center | 306 Brynn Marr Rd, Jacksonville, NC 28546-7023 | 2014-10-16 |
| 1083961007 | Cindy Arlene Jones | Clinic/Center | 155 Scenic Rd, Jacksonville, AL 36265-8251 | 2012-08-09 |
| 1568417798 | Fayetteville Vamc | Clinic/Center | 4006 Henderson Drive, Jacksonville, NC 28546-9998 | 2006-05-24 |
| 1538799002 | Fayetteville Vamc | Clinic/Center | 2580 Henderson Dr, Jacksonville, NC 28546-5252 | 2020-01-23 |
| 1821464314 | Gainesville Vamc | Clinic/Center | 3901 University Blvd. South, Jacksonville, FL 32216-4312 | 2015-08-19 |
| 1649678988 | Gainesville Vamc | Clinic/Center | 6900 Southpoint Dr N, Jacksonville, FL 32216-8007 | 2014-12-19 |
| 1447472758 | Health Care Consultants | Clinic/Center | 1833 Boulevard, Jacksonville, FL 32206 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681723 | Gainesville Vamc | Clinic/Center | 400 College Dr Ste 200, Middleburg, FL 32068-8525 | 2020-05-21 |
| 1831719715 | Orlando Vamc | Clinic/Center | 5200 Babcock St Ne Ste 101, Palm Bay, FL 32905-4639 | 2020-04-21 |
| 1851955405 | Tampa Vamc | Clinic/Center | 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 | 2019-04-30 |
| 1316331952 | James A.haley Va Hospital | Clinic/Center | 6465 142nd Ave N Apt X205, Clearwater, FL 33760-2785 | 2015-03-20 |
| 1326436601 | Biloxi Vamc | Clinic/Center | 140 Richard Jackson Blvd, Suite 100, Panama City Beach, FL 32407-2512 | 2015-01-08 |
| 1255729505 | Tampa Vamc | Clinic/Center | 110210 Us Highway 19 North, Suite 102, New Port Richey, FL 34668-9998 | 2015-01-08 |
| 1609264738 | Orlando Vamc | Clinic/Center | 3731 S Clyde Morris Blvd, Port Orange, FL 32129-2319 | 2014-12-23 |
| 1902204167 | Tampa Vamc | Clinic/Center | 7701 Little Rd, New Port Richey, FL 34654-5403 | 2014-12-19 |
| 1386042620 | West Palm Beach Vamc | Clinic/Center | 126 Sw Chamber Ct, Port Saint Lucie, FL 34986-3496 | 2014-12-19 |
| 1629476965 | Tampa Vamc | Clinic/Center | 14014 North 46th Street, Tampa, FL 33613-9998 | 2014-12-19 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
Please comment or provide details below to improve the information on GAINESVILLE VAMC.
| 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.