JARED R NELSON (NPI# 1780034363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780034363 |
| Entity Type | Individual |
| Full Name | JARED R NELSON |
| Credential | DO |
| Practice Address |
4500 San Pablo Rd S Jacksonville FL 32224-1865 |
| Practice Telephone | 9049532000 |
| Mailing Telephone | 9049532000 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | LL39785 | SC | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
OS16332 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 San Pablo Rd S, Jacksonville, FL 32224 | 9049532000 | |
| 701 Grove Rd, Greenville, SC 296054210 | 8644557882 | 8644555008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104552 | Jared Carter Nelson | Counselor | 1334 Post Ave, Torrance, CA 90501-2620 | 2020-11-02 |
| 1366902231 | Jared Nelson | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2019-03-25 |
| 1376032383 | Jared Daune Nelson | Counselor | 7455 Arroyo Crossing Pkwy Ste 220, Las Vegas, NV 89113-4088 | 2018-05-04 |
| 1104321876 | Jared Nelson | Chiropractor | 10204 Garland Rd, Dallas, TX 75218-2921 | 2018-03-26 |
| 1518304435 | Jared Nelson | Optometrist | 1651 W Rose St, Walla Walla, WA 99362-1689 | 2013-06-01 |
| 1295091791 | Jared Michael Nelson | Psychiatry & Neurology | 850 E Foothill Blvd, Rialto, CA 92376-5230 | 2012-04-09 |
| 1235455056 | Jared Wynn Nelson | Radiology | 2769 Heartland Drive, Suite 105, Coralville, IA 52241 | 2010-04-19 |
| 1528034980 | Jared William Nelson | Family Medicine | 701 Hospital Loop, 92 Medical Group, Fairchild Air Force Base, WA 99011 | 2006-02-27 |
| Street Address |
4500 SAN PABLO RD S |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224-1865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799136 | Richard Clarke Agnew | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-06-01 |
| 1427657964 | Brianna Iannarelli | Nurse Anesthetist, Certified Registered | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-24 |
| 1538768981 | Heather Anne Dahlen | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-17 |
| 1578161717 | Szilvia Fortner | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-10 |
| 1265049464 | Carolyn Gonzalez | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-09-30 |
| 1467065748 | Ifeloluwa A Olutola | Family Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-26 |
| 1366055568 | Krina Dipak Vyas | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-26 |
| 1356954911 | Haleigh Diane Shelton | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-24 |
| 1215548805 | Victoria Zeilinger Reams | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-16 |
| 1558971382 | Rachel Marie Hannon | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1063031524 | Overflow Health Alliance Inc | Internal Medicine | 3416 Moncrief Rd # 101, Jacksonville, FL 32209-4340 | 2020-04-14 |
| 1609201334 | Harry D. Marty Vigo | Internal Medicine | 15255 Max Leggett Pkwy Ste 4224, Jacksonville, FL 32218-7275 | 2013-09-12 |
| 1235351362 | Ramon Dizon Md Pa | Internal Medicine | 1200 Barrs Street, Jacksonville, FL 32204 | 2007-05-02 |
| 1730145608 | Sebastian Robert Stanciu | Internal Medicine | 2122 University Blvd S, Jacksonville, FL 32216-8937 | 2006-04-21 |
| 1326016536 | Ivan A Guerrero | Internal Medicine | 6817 Southpoint Pkwy Ste 802, Jacksonville, FL 32216 | 2006-03-14 |
| 1265426829 | Luis U Ramirez | Internal Medicine | 11555 Central Pkwy, Ste 200, Jacksonville, FL 32224-2691 | 2005-09-09 |
| 1518951441 | Robert J Catalla | Internal Medicine | 820 Prudential Dr Ste 515, Credentialing Department, Jacksonville, FL 32207-8207 | 2005-09-07 |
| 1750814414 | Sammer M. Elwasila | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2017-04-09 |
| 1417364563 | Mark Anthony Antonio Diaz | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2014-07-21 |
| 1447690987 | Kapil Vyas | Internal Medicine | 3 Shircliff Way Ste 625, Jacksonville, FL 32204-4776 | 2013-06-28 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
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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.