PETER A. NASSAR, M.D., P.A. (NPI# 1609000215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609000215 |
| Entity Type | Organization |
| Organization Name | PETER A. NASSAR, M.D., P.A. |
| Practice Address |
6930 Bonneval Rd Suite 2 Jacksonville FL 32216-6084 |
| Mailing Address |
3537 Crest St St Augustine FL 32092-3801 |
| Practice Telephone | 9048546899 |
| Practice Fax Number | 9043380533 |
| Mailing Telephone | 9042369331 |
| Mailing Fax Number | 9043380533 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2012-03-01 |
| Authorized Official Name | DR. PETER A NASSAR (OWNER) |
| Authorized Official Telephone | 9042369331 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME94669 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
ME94669 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 274620400 | 05 | |
| FL | AVMED | 299886 | 01 |
| FL | BCBS OF FL | 31047 | 01 |
| FL | AETNA | 7329770 | 01 |
| FL | RAILROAD MEDICARE | P00629712 | 01 |
| FL | CIGNA | 6428573 | 01 |
| Street Address |
6930 BONNEVAL RD SUITE 2 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-6084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386630200 | Affordable Medical Equipment Solution | Durable Medical Equipment & Medical Supplies | 6930 Bonneval Rd, Suite 3, Jacksonville, FL 32216-6012 | 2005-09-26 |
| 1447596853 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 6930 Bonneval Rd, Suite 3, Jacksonville, FL 32216 | 2012-12-13 |
| 1376803155 | Baptist Cardiology, Inc. | Sleep Specialist, PhD | 6930 Bonneval Rd, Jacksonville, FL 32216-6084 | 2012-05-25 |
| 1629157243 | Peter Anton Nassar | Internal Medicine | 6930 Bonneval Rd, Suite #2, Jacksonville, FL 32216-6012 | 2006-11-03 |
| 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 Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782109 | Nations Sleep Disorders Center of The Carolinas LLC | Internal Medicine | 715 Gum Branch Rd Ste 8, Jacksonville, NC 28540-6427 | 2020-02-20 |
| 1043545056 | Mid Atlantic Neurology & Sleep Medicine, P.a. | Internal Medicine | 34 Office Park Dr Ste 100, Jacksonville, NC 28546-3221 | 2009-10-08 |
| 1316186075 | Ricardo F Izurieta Md Pa | Internal Medicine | 8709 Hampshire Glen Dr S, Jacksonville, FL 32256-9567 | 2009-02-19 |
| 1962647545 | Sleep Care Associates Inc | Internal Medicine | 7835 Chase Meadows Dr E, Jacksonville, FL 32256-4642 | 2008-12-10 |
| 1255502969 | Mitchell S Rothstein M D Inc | Internal Medicine | 1939 River Rd, Jacksonville, FL 32207 | 2008-03-20 |
| 1700057551 | Mitchell S Rothstein M D Inc | Internal Medicine | 1431 Riverplace Boulevard, Unit 2801, Jacksonville, FL 32207 | 2008-03-20 |
| 1669708665 | Mid Atlantic Neurology & Sleep Medicine, P.a. | Internal Medicine | 227 Memorial Dr, Jacksonville, NC 28546-6333 | 2009-10-26 |
| 1699901173 | Brendon Colaco | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2009-06-10 |
| 1205074408 | Sleep Care Inc | Internal Medicine | 7835 Chase Meadows Dr E, Jacksonville, FL 32256-4642 | 2009-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281162 | Medicsleep LLC | Internal Medicine | 7842 Nw 46th St, Doral, FL 33166-5461 | 2020-10-08 |
| 1477040129 | Sleepmaster Solutions | Internal Medicine | 2901 W Busch Blvd Ste 701, Tampa, FL 33618-4569 | 2018-04-18 |
| 1407148539 | Starlight Medical Group & Sleep Lab LLC | Internal Medicine | 2621 Windguard Cir, Wesley Chapel, FL 33544-7354 | 2011-05-08 |
| 1790081321 | Advanced Sleep and Respiratory Institute, P.a. | Internal Medicine | 305 Memorial Medical Pkwy Ste 501, Daytona Beach, FL 32117-5170 | 2011-01-29 |
| 1235432212 | Baptist Sleep Centers of South Florida LLC | Internal Medicine | 6141 Sunset Dr Ste 503, South Miami, FL 33143-5026 | 2010-12-13 |
| 1619163359 | Pediatric Services and Breathing Center Pa | Internal Medicine | 1400 N Us Highway 441 Ste 940, The Villages, FL 32159-8975 | 2007-09-17 |
| 1518082262 | Monica O Woodward Md Pa | Internal Medicine | 1865 Veterans Park Dr Ste 301, Naples, FL 34109-0447 | 2007-03-20 |
| 1245307941 | Lara M Wittine | Internal Medicine | 2 Tampa General Cir # 6th, Tampa, FL 33606-3603 | 2006-11-29 |
| 1881642965 | Pulmonary and Sleep Center of Lake City Pa | Internal Medicine | 320 Nw Turner Ave, Lake City, FL 32055-8306 | 2006-05-04 |
| 1104805951 | Central Florida Pulmonary Group Pa | Internal Medicine | 1115 E. Ridgewood St., Orlando, FL 32803 | 2006-01-11 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.