BAPTIST PRIMARY CARE INC (NPI# 1639351927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639351927 |
Entity Type | Organization |
Organization Name | BAPTIST PRIMARY CARE INC |
Practice Address |
1660 Prudential Dr Ste 310 Jacksonville FL 32207-8185 |
Mailing Address |
Po Box 45443 Salt Lake City UT 84145-0443 |
Practice Telephone | 9043968656 |
Practice Fax Number | 9043968621 |
Mailing Telephone | 9042021032 |
Mailing Fax Number | 9043764107 |
Enumeration Date | 2007-11-29 |
Last Update Date | 2020-09-04 |
Authorized Official Name | MARSHA DONALDSON (VICE PRESIDENT) |
Authorized Official Telephone | 9043763703 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 265495400 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
1184246670 | Baptist Primary Care Inc | Family Medicine | 832 A1a N Ste 6, Ponte Vedra Beach, FL 32082-3216 | 2020-05-07 |
1811439516 | Baptist Primary Care Inc | Family Medicine | 769 Blanding Blvd, Suite 7, Orange Park, FL 32065-8720 | 2016-11-11 |
1124460761 | Baptist Primary Care Inc | Internal Medicine | 6209 Brooks Bartram Drive, Jacksonville, FL 32258-5600 | 2013-07-24 |
1316128259 | Baptist Primary Care Inc | Family Medicine | 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210-1852 | 2007-11-20 |
1275714214 | Baptist Primary Care Inc | Family Medicine | 1864 Lime St, Suite 5, Fernandina Beach, FL 32034-4795 | 2007-11-19 |
1073794038 | Baptist Primary Care Inc | Internal Medicine | 1403 Dunn Ave, Suite 26, Jacksonville, FL 32218-6346 | 2007-11-19 |
1457532400 | Baptist Primary Care Inc | Family Medicine | 45465 5th Ave, Callahan, FL 32011-3901 | 2007-11-19 |
1154502110 | Baptist Primary Care Inc | Family Medicine | 1590 Island Ln, Suite 1, Orange Park, FL 32003-4406 | 2007-11-19 |
1538340583 | Baptist Primary Care Inc | Family Medicine | 5566 Fort Caroline Rd, Suite 20, Jacksonville, FL 32277-1798 | 2007-11-19 |
Street Address |
1660 PRUDENTIAL DR STE 310 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32207-8185 |
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 | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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 |
---|---|---|---|---|
1336606383 | Infusion Center of Jacksonville, LLC | Internal Medicine | 11512 Lake Mead Ave Ste 302-303, Jacksonville, FL 32256-9680 | 2019-02-26 |
1619245495 | Steven D. Mathews, M.d., P.a. | Internal Medicine | 6863 Belfort Oaks Pl, Jacksonville, FL 32216-6242 | 2011-12-07 |
1386891604 | Aneesa Krishnamurthy | Internal Medicine | 3 Shircliff Way Ste 333, Jacksonville, FL 32204 | 2008-08-19 |
1437362266 | Augusto Mayor Quilon IIi | Internal Medicine | 14810 Old Saint Augustine Rd Ste 101, Jacksonville, FL 32258-2558 | 2007-05-08 |
1043341795 | Annabelle K Lee | Internal Medicine | 13241 Bartram Blvd., Suite 2105, Jacksonville, FL 32258-2451 | 2007-03-07 |
1104987122 | Steven Dell Mathews | Internal Medicine | 6863 Belfort Oaks Place, Jacksonville, FL 32216 | 2006-12-13 |
1194894436 | Pamela R Neish | Internal Medicine | 1672 Dover Hill Dr, Jacksonville, FL 32225-4936 | 2006-11-08 |
1609962679 | Kathryn Michele Lawson | Internal Medicine | 13241 Bartram Park Blvd Unit 2105, Jacksonville, FL 32258-5224 | 2006-10-05 |
1437132586 | Gary Thomas Gabor | Internal Medicine | 1660 Prudential Dr, Suite 310, Jacksonville, FL 32207-8197 | 2005-11-22 |
1992794614 | David Donald Fraser | Internal Medicine | 1126b Kellum Loop Rd, Jacksonville, NC 28546-3304 | 2005-10-14 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32207 |
Please comment or provide details below to improve the information on BAPTIST PRIMARY CARE INC.
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.