DR. JAWED HUSSAIN


Address: 4063 Salisbury Rd Ste 100, Jacksonville, FL 32216-6199
Phone: 9047179625

DR. JAWED HUSSAIN (NPI# 1578669933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578669933
Entity Type Individual
Full Name DR. JAWED HUSSAIN
Credential M.D.
Practice Address 4063 Salisbury Rd Ste 100
Jacksonville
FL 32216-6199
Mailing Address Po Box 57970
Jacksonville
FL 32241-7970
Practice Telephone 9047179625
Practice Fax Number 9046836499
Mailing Telephone 9043069860
Mailing Fax Number 9043069864
Enumeration Date 2006-09-15
Last Update Date 2018-05-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
ME52215 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 049131400 05
FL BCBS 05624 01
FL RAILROAD MEDICARE 250013790 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
4243 Sunbeam Rd, Ste 6, Jacksonville, FL 322578848 9044482005 9044481185

Office Location

Street Address 4063 SALISBURY RD STE 100
City JACKSONVILLE
State FL
Zip Code 32216-6199

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942836986 Mallory Parrish Arinello Physician Assistant 4063 Salisbury Rd Ste 100, Jacksonville, FL 32216-6199 2020-03-22
1104460096 Spencer Rice Pain Medicine 4063 Salisbury Rd Ste 100, Jacksonville, FL 32216-6199 2019-11-04
1356840409 Advanced Pain Management Group, Inc. Pain Medicine 4063 Salisbury Rd Ste 100, Jacksonville, FL 32216-6199 2018-02-05
1154506376 Kenneth Joseph Eaddy Internal Medicine 4063 Salisbury Rd Ste 100, Jacksonville, FL 32216 2008-01-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
Find all providers in zip 32216

Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962565457 Mark Charles Hofmann Physical Medicine & Rehabilitation 2968 Rainbow Rd, Jacksonville, FL 32217-2435 2006-12-18
1396792818 Allevia Medical, LLC Physical Medicine & Rehabilitation 14482 Cherry Lake Dr E, Jacksonville, FL 32258-5178 2006-05-29
1427011741 Frank R Collier Jr. Physical Medicine & Rehabilitation 2627 Riverside Ave Fl 3, Jacksonville, FL 32204-4712 2006-04-08
1467445403 Bao Tien Pham Physical Medicine & Rehabilitation 6816 Southpoint Pkwy, Suite 302, Jacksonville, FL 32216-1700 2005-08-24
1790045623 Kyle R Bovee Physical Medicine & Rehabilitation 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2012-05-25
1932428380 Monika Yogesh Patel Physical Medicine & Rehabilitation 655 W 8th St, Jacksonville, FL 32209-6511 2010-05-25
1124273529 Sunshine Spine and Pain, Pa Physical Medicine & Rehabilitation 3 Shircliff Way, Suite 610, Jacksonville, FL 32204-4757 2008-11-26
1215118062 Accmed Healthcare Systems Inc Physical Medicine & Rehabilitation 6816 Southpoint Pkwy, Suite 302, Jacksonville, FL 32216-1700 2007-11-21
1801000161 Ferdinand Joseph Formoso Physical Medicine & Rehabilitation 11555 Central Pkwy, Suite 304, Jacksonville, FL 32224-2691 2007-05-09
1790704153 Marc Edward Tafflin Physical Medicine & Rehabilitation 1820 Barrs St, Suite 601, Jacksonville, FL 32204-4742 2006-07-18
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

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.

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