HEALTHSTAT, INC. (NPI# 1609010453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609010453 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT, INC. |
| Practice Address |
4800 Deerwood Campus Pkwy Jacksonville FL 32246-6498 |
| Mailing Address |
4601 Charlotte Park Dr Suite 390 Charlotte NC 28217-1915 |
| Practice Telephone | 7045296161 |
| Mailing Telephone | 7045296161 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |
| Authorized Official Name | DR. DOUGLAS J KNOOP (EXECUTIVE MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7045296161 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HEALTHSTAT, INC. | 4651 Charlotte Park Dr, Ste 300, Charlotte, NC 28217 |
| Washington State Corporations | HEALTHSTAT, INC. | 4651 Charlotte Park Drive, Suite 300, Charlotte, NC 28217-1916 |
| Connecticut Business Registrations | HEALTHSTAT, INC. | 4651 Charlotte Park Drive Ste 300, Charlotte, NC 28217 |
| Oklahoma Business Registrations | HEALTHSTAT, INC. | 4601 Charlotte Park Dr Ste 390, Charlotte, NC 28217 |
| Street Address |
4800 DEERWOOD CAMPUS PKWY |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32246-6498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590349 | Richard J. Cassidy | Internal Medicine | 4800 Deerwood Campus Pkwy, Dcc 3-4, Jacksonville, FL 32246-6498 | 2005-06-30 |
| 1447893995 | Lisa Marie Savarese | Social Worker | 4800 Deerwood Campus Pkwy, Jacksonville, FL 32246-6498 | 2019-10-28 |
| 1780044925 | Sandra Jawor | Social Worker | 4800 Deerwood Campus Pkwy, Jacksonville, FL 32246-6498 | 2016-03-01 |
| 1093122715 | Baptist Primary Care Inc | Internal Medicine | 4800 Deerwood Campus Pkwy, Building 300 First Floor, Jacksonville, FL 32246-6498 | 2014-07-15 |
| 1669765806 | Jennille Sapin Torres | Nurse Practitioner | 4800 Deerwood Campus Pkwy, Bldg. 300-1, Jacksonville, FL 32246-6498 | 2011-05-20 |
| 1851591853 | John Michael Montgomery | Family Medicine | 4800 Deerwood Campus Pkwy, Building 600 1st Floor, Jacksonville, FL 32246 | 2007-07-19 |
| 1447216601 | Victoria Elaine Bryant-riggins | Pharmacist | 4800 Deerwood Campus Pkwy, Jacksonville, FL 32246-6498 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179863 | Samar A Ibrahim | Pharmacist | 1305 N Orange Ave Green Cove Springs, Jacksonville, FL 32246 | 2019-11-19 |
| 1386290898 | Kelsey R Clevenger | Chiropractor | 4413 Town Center Parkway, Ste. 205, Jacksonville, FL 32246 | 2019-08-12 |
| 1700449006 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4712 Lake Center Drive, Space 107, Jacksonville, FL 32246 | 2019-04-22 |
| 1205399946 | Usa United Surgical Assistants | Clinic/Center | Bahri Surgical Center, 9726 Touchton Rd, Jacksonville, FL 32246 | 2019-04-10 |
| 1780173526 | Jules Novall LLC | Taxi | 4600 Touchton Rd, Jacksonville, FL 32246 | 2018-05-08 |
| 1740636307 | Jonathan David Browning | Psychiatry & Neurology | 4884 Deer Creek Drive W, Jacksonville, FL 32246 | 2016-05-12 |
| 1952770463 | Alignment Healthcare Florida LLC | Clinic/Center | 3520-1 St. Johns Bluff Rd., Jacksonville, FL 32246 | 2015-09-15 |
| 1558739417 | Jessica Brake | Physical Therapist | 9726 Touchton Road, Suite 104, Jacksonville, FL 32246 | 2015-09-09 |
| 1043686256 | Healthyeye Dba Vision Express LLC | Optometrist | 4871 Town Center Parkway #5, Jacksonville, FL 32246 | 2015-08-12 |
| 1477954675 | Joanivette Rodriguez | Psychologist | 3451 Saland Way Apt 504, Jacksonville, FL 32246 | 2014-09-08 |
| Find all providers in zip 32246 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898457 | Hyperbaric Therapy of Jacksonville | Clinic/Center | 11701 San Jose Blvd Ste 108, Jacksonville, FL 32223-0756 | 2019-12-20 |
| 1912548769 | Health Access Rx Services | Clinic/Center | 3050 Tamaya Blvd Apt 639, Jacksonville, FL 32246-1255 | 2019-10-03 |
| 1831568344 | Alignment Healthcare Florida LLC | Clinic/Center | 3501 Cortez Rd. West, Jacksonville, FL 34210 | 2015-09-15 |
| 1952770463 | Alignment Healthcare Florida LLC | Clinic/Center | 3520-1 St. Johns Bluff Rd., Jacksonville, FL 32246 | 2015-09-15 |
| 1336516814 | Alignment Healthcare Florida LLC | Clinic/Center | 5500 Blanding Blvd, Jacksonville, FL 32244-1946 | 2015-08-31 |
| 1629489141 | Amador Garcia Nazareno | Clinic/Center | 2258 Pocosin Ct, Jacksonville, FL 32246-4193 | 2014-05-19 |
| 1902188782 | Wellness Rehab Services Inc | Clinic/Center | 6550 San Augustin Rd, Ste 304, Jacksonville, FL 32217 | 2011-09-16 |
| 1346575800 | Learning Basics Inc | Clinic/Center | 12606 Arrowleaf Ln, Jacksonville, FL 32225-6848 | 2009-10-16 |
| 1114116811 | American Current Care Pa | Clinic/Center | 5600 Spring Park Road, Suite 100, Jacksonville, FL 32216 | 2007-10-18 |
| 1750574133 | Banister Chiropractic | Clinic/Center | 4111 Atlantic Boulevard, Jacksonville, FL 32207-2038 | 2007-08-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32246 |
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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.