DR. MARIUS LAURINAITIS (NPI# 1639174212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639174212 |
| Entity Type | Individual |
| Full Name | DR. MARIUS LAURINAITIS |
| Other Name | DR. MARIUS LAURINAITIS |
| Credential | M.D. |
| Practice Address |
820 Prudential Dr Ste 304 Jacksonville FL 32207-8205 |
| Mailing Address |
Po Box 45443 Salt Lake City UT 84145-0443 |
| Practice Telephone | 9042023860 |
| Practice Fax Number | 9042023846 |
| Mailing Telephone | 9042021032 |
| Mailing Fax Number | 9043764107 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2019-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME118114 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 4301071796 | MI | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | ME118114 | FL | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 4301071796 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS CPIN # | 70-0-F32947-0 | 01 |
| MI | NPI # | 1639174212 | 01 |
| MI | BCBSM | ML071796 | 01 |
| MI | 4846413 | 05 |
| Street Address |
820 PRUDENTIAL DR STE 304 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327228 | Tony David Echols | Nurse Practitioner | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2018-05-24 |
| 1174049340 | Oscar A Milian Cardoso | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-08-18 |
| 1265953905 | Tryphene Saint-phard | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-07-03 |
| 1144759424 | David Samuel Kornblum | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-06-08 |
| 1568990190 | Reem Itani | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-05-26 |
| 1538691183 | Joanne Bartley | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-04-03 |
| 1558893818 | Rhumit Patel | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-03-28 |
| 1730610213 | Unnati Wardan | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-03-25 |
| 1831620392 | Hamel J Patel | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-03-24 |
| 1346771508 | Faiza Shah | Internal Medicine | 820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205 | 2017-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004329 | Colin Craig Rowell | Internal Medicine | 4500 San Pablo Rd S Fl 32, Jacksonville, FL 32224-1865 | 2020-05-17 |
| 1457982977 | Ateeque Khan, Md P.a. | Internal Medicine | 3659 Eastbury Dr, Jacksonville, FL 32224-1659 | 2020-02-03 |
| 1013478221 | Naji Maaliki | Internal Medicine | 653-1 W 8th St Fl L184, Jacksonville, FL 32209-6511 | 2019-03-29 |
| 1770043259 | Fadi Kandah | Internal Medicine | 653-1 W 8th St # L15, Jacksonville, FL 32209-6511 | 2019-03-21 |
| 1346696002 | Alana Akers | Internal Medicine | 203 Nacogdoches St Ste 290, Jacksonville, TX 75766-2444 | 2016-05-11 |
| 1346602927 | Kevin Roy Green | Internal Medicine | 653-1 W 8th St # L18, Jacksonville, FL 32209-6511 | 2016-03-23 |
| 1093175770 | Alex Balmir | Internal Medicine | 655 W 8th St # Cc262, Jacksonville, FL 32209-6511 | 2016-02-24 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1316338957 | Deep Patel | Internal Medicine | 5238 Norwood Ave Ste 16, Jacksonville, FL 32208-5005 | 2015-02-17 |
| 1063801934 | Avecina Medical | Internal Medicine | 9580 Applecross Rd, 106, Jacksonville, FL 32222-5845 | 2015-01-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.