RICHARD A PICERNO II


Address: 14540 Old Saint Augustine Rd Ste 2201, Jacksonville, FL 32258-7418
Phone: 9048801260

RICHARD A PICERNO II (NPI# 1649271917) 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) 1649271917
Entity Type Individual
Full Name RICHARD A PICERNO II
Credential M.D.
Practice Address 14540 Old Saint Augustine Rd Ste 2201
Jacksonville
FL 32258-7418
Mailing Address 1325 San Marco Blvd
Suite 200
Jacksonville
FL 32207-8568
Practice Telephone 9048801260
Practice Fax Number 9048801210
Mailing Telephone 9043463465
Mailing Fax Number 9048801210
Enumeration Date 2005-08-09
Last Update Date 2015-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery ME93510 FL Allopathic & Osteopathic Physicians
N 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
ME93510 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL RR MEDICARE P00251780 01
FL 273545800 05

Office Location

Street Address 14540 OLD SAINT AUGUSTINE RD STE 2201
City JACKSONVILLE
State FL
Zip Code 32258-7418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730479551 Phillip M Bell Orthopaedic Surgery 14540 Old Saint Augustine Rd Ste 2201, Jacksonville, FL 32258-7418 2011-04-13
1760711097 Baptist Primary Care Inc Internal Medicine 14540 Old Saint Augustine Rd Ste 2201, Jacksonville, FL 32258-7418 2009-12-16
1992740443 Brandon James Kambach Orthopaedic Surgery 14540 Old Saint Augustine Rd Ste 2201, Credentialing Department, Jacksonville, FL 32258-7418 2006-06-18
1659344489 Gregory Solis Orthopaedic Surgery 14540 Old Saint Augustine Rd Ste 2201, Credentialing Department, Jacksonville, FL 32258-7418 2006-02-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437794237 Nicoleta Descalzo Behavior Technician 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 2019-11-15
1992275572 William Lundgren Nurse Anesthetist, Certified Registered 3625 University Blvd South, Jacksonville, FL 32258 2018-11-27
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1679092886 Palm Life Medical Associates Pa Assisted Living Facility 12494 Acosta Oaks Drive, Jacksonville, FL 32258 2017-09-19
1679013932 Optometry Vision Care Pllc Optometrist 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 2017-03-06
1467991950 North Florida Vision Group Inc Optometrist 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 2017-02-16
1124576566 Revolution Chiropractic LLC Chiropractor 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-14
1396291936 Robyn Reaves Nurse Practitioner 12361 Richards Glen Ct, Jacksonville, FL 32258 2016-09-01
1326595927 Lauren Cost Chiropractor 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-01
1487991170 Mark Steven Colosimo Pharmacist 13820 Old St Augustine Road, Jacksonville, FL 32258 2013-01-15
Find all providers in zip 32258

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609483155 Ortholonestar, Pllc Orthopaedic Surgery 203 Nacogdoches St Ste 350, Jacksonville, TX 75766-2454 2020-09-29
1437719853 North Florida Surgeons, Pa Orthopaedic Surgery 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 2019-06-18
1013478403 David William Barton Orthopaedic Surgery 655 W 8th St, Box C-126, Jacksonville, FL 32209 2019-03-27
1083093991 John Wunn Cancian Sr. Orthopaedic Surgery Bumed, Centralized Credential and Privileging Directora, 554 Keily Street, Jacksonville, FL 32212 2015-05-26
1124463088 Eric G Kim Orthopaedic Surgery 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 2013-05-06
1508124439 Conor Brendan Garry Orthopaedic Surgery Bureau of Medicine and Surgery, Central Credentialing, 554 Keily St, Jacksonville, FL 32212 2012-04-28
1386924298 George El-bahri Orthopaedic Surgery 6100 Kennerly Rd Ste 101, Jacksonville, FL 32216-4376 2011-08-23
1659667012 Michael C Freidl Orthopaedic Surgery Uf Health - North, 15255 Max Leggett Parkway - Suite 6600, Jacksonville, FL 32218 2011-06-23
1780902643 John Webster Williams Jr. Orthopaedic Surgery 4416 Gadsden Ct, Jacksonville, FL 32207-6216 2010-05-17
1265604599 Asher O Smith Orthopaedic Surgery 2080 Child Street Naval Hospital Jacksonville, Jacksonville, FL 32214-2538 2008-03-27
Find all providers in JACKSONVILLE

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City JACKSONVILLE
Zip Code 32258

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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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