BAPTIST CARDIOLOGY, INC. (NPI# 1760751598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760751598 |
| Entity Type | Organization |
| Organization Name | BAPTIST CARDIOLOGY, INC. |
| Other Organization Name | BAPTIST HEART SPECIALISTS |
| Practice Address |
3563 Phillips Hwy Ste 106a Credentialing Department Jacksonville FL 32207-5663 |
| Mailing Address |
Po Box 40767 Credentialing Department Jacksonville FL 32203-0767 |
| Practice Telephone | 9043763707 |
| Practice Fax Number | 9043915807 |
| Mailing Telephone | 9043763707 |
| Mailing Fax Number | 9043915807 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | DR. MARK A MASTERS (PRESIDENT) |
| Authorized Official Telephone | 9043763707 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
FL | Allopathic & Osteopathic Physicians | |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
FL | Allopathic & Osteopathic Physicians | |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
FL | Allopathic & Osteopathic Physicians | |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004946600 | 05 | |
| FL | RAILROAD MEDICARE | DS8424 | 01 |
| Other Name | Type Code |
|---|---|
| Baptist Heart Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790743854 | Baptist Cardiology, Inc. | Internal Medicine | 1905 Corporate Square Blvd, Jacksonville, FL 32216-1940 | 2006-05-01 |
| 1376803155 | Baptist Cardiology, Inc. | Sleep Specialist, PhD | 6930 Bonneval Rd, Jacksonville, FL 32216-6084 | 2012-05-25 |
| 1790051845 | Baptist Cardiology, Inc. | Internal Medicine | 14546 Old Saint Augustine Rd, Suite 103, Jacksonville, FL 32258-5468 | 2012-03-22 |
| 1235403221 | Baptist Cardiology, Inc. | Internal Medicine | 11513 N Main St, Jacksonville, FL 32218-4002 | 2012-03-08 |
| 1073886065 | Baptist Cardiology, Inc. | Internal Medicine | 1340 S 18th St, Building A, Suite 202, Fernandina Beach, FL 32034-4799 | 2012-02-22 |
| 1831462829 | Baptist Cardiology, Inc. | Internal Medicine | 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616 | 2012-02-22 |
| 1619240603 | Baptist Cardiology, Inc. | Internal Medicine | 3225 University Blvd S Ste 104, Jacksonville, FL 32216-2757 | 2012-02-22 |
| 1457624447 | Baptist Cardiology, Inc. | Internal Medicine | 11236 Baptist Health Dr Ste 310, Jacksonville, FL 32218-2989 | 2012-02-22 |
| 1285907311 | Baptist Cardiology, Inc. | Internal Medicine | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8334 | 2012-02-21 |
| 1588937619 | Baptist Cardiology, Inc. | Internal Medicine | 820 Prudential Dr, Suite 112, Jacksonville, FL 32207-8210 | 2012-02-21 |
| Street Address |
3563 PHILLIPS HWY STE 106A CREDENTIALING DEPARTMENT |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-5663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598995599 | Baptist Neurology Inc | Psychiatry & Neurology | 3563 Phillips Hwy Ste 106a, Jacksonville, FL 32207-5663 | 2009-07-24 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1598182552 | Maedeh Ganji | Internal Medicine | 653 W 8th St # L-18, Jacksonville, FL 32209-6511 | 2014-03-27 |
| 1649696691 | Carolinaeast Physicians | Internal Medicine | 4725 Western Blvd, Jacksonville, NC 28546-6852 | 2014-03-14 |
| 1093151888 | Alejandro Pena Jr. | Internal Medicine | 14546 Old St Augustine Rd Suite 201, Jacksonville, FL 32258-2612 | 2013-05-20 |
| 1669696407 | Ruple Jayantilal Galani | Internal Medicine | 14546 Old Saint Augustine Rd Ste 103, Credentialing Department, Jacksonville, FL 32258-5469 | 2007-04-12 |
| 1154408656 | Heart Clinic of Jacksonville, LLC | Internal Medicine | 9551 Baymeadows Rd Ste 6, Jacksonville, FL 32256-7938 | 2006-11-01 |
| 1487757092 | Cardiovascular Associates of Jacksonville Pa | Internal Medicine | 3599 University Blvd South, Suite 913, Jacksonville, FL 32216-4269 | 2006-09-07 |
| 1316958838 | Valerie Mcnee | Internal Medicine | 1 Red Fox Ln, Jacksonville, AR 72076-2513 | 2006-08-10 |
| 1306895438 | Diagnostic Cardiology Pa | Internal Medicine | 6867 South Point Drive N, Suite 111, Jacksonville, FL 32216-8005 | 2006-05-08 |
| 1790743854 | Baptist Cardiology, Inc. | Internal Medicine | 1905 Corporate Square Blvd, Jacksonville, FL 32216-1940 | 2006-05-01 |
| 1386601896 | James C Campbell | Internal Medicine | 3225 University Blvd S Ste 104, Credentialing Department, Jacksonville, FL 32216-2757 | 2006-04-27 |
| 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.