NAVAL HOSPITAL JACKSONVILLE (NPI# 1891009262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891009262 |
| Entity Type | Organization |
| Organization Name | NAVAL HOSPITAL JACKSONVILLE |
| Practice Address |
2080 Child St Jacksonville FL 32214-5000 |
| Practice Telephone | 9045429790 |
| Mailing Telephone | 9045429790 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |
| Authorized Official Name | DR. MARIE ELIZABETH BROCK (FAMILY MEDICINE INTERN) |
| Authorized Official Telephone | 4237187850 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285731034 | Naval Hospital Jacksonville | Military/U.S. Coast Guard Pharmacy | 814 Radford Blvd, Bldg 7200, Albany, GA 31704-5000 | 2006-09-20 |
| 1881618346 | Naval Hospital Jacksonville | Emergency Medicine | Naval Hospital Jacksonville, Jacksonville, FL 32099 | 2006-07-27 |
| 1124050448 | Naval Hospital Jacksonville | Family Medicine | 2080 Child St, Jacksonville, FL 32214-5005 | 2006-07-07 |
| 1194768879 | Naval Hospital Jacksonville | Family Medicine | 2080 Child St, Jacksonville, FL 32214-5005 | 2006-06-13 |
| 1962468389 | Naval Hospital Jacksonville | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5005 | 2006-04-25 |
| 1326017419 | Naval Hospital Jacksonville | Military Hospital | 2080 Child St, Naval Hospital Jacksonville- Internal Medicine Clinic, Jacksonville, FL 32214-5005 | 2006-03-14 |
| 1780655373 | Naval Hospital Jacksonville | Nurse Practitioner | Naval Hospital Jacksonville, Jacksonville, FL 32214-0001 | 2006-01-31 |
| 1265411383 | Naval Hospital Jacksonville | Emergency Medicine | 2080 Child St, Jacksonville, FL 32214-5005 | 2006-01-17 |
| Street Address |
2080 CHILD ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32214-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205836202 | Juan Pedro Rivera | Psychiatry & Neurology | 2080 Child St, Jacksonville, FL 32214-5005 | 2005-08-01 |
| 1477169662 | Bobby Joe Neal Kimbro | General Practice | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-09-22 |
| 1659986529 | Henry Lee Simmons Jr. | Pharmacist | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-09-09 |
| 1982228441 | Chantel Charais | Nurse Practitioner | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-06-01 |
| 1598388936 | Joseph Royer | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-05-20 |
| 1780206359 | Devin Alan Rickard | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-05-17 |
| 1881216307 | Adam Dillon Ratcliff | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-05-07 |
| 1619598588 | Sarah Chilson | Nurse Practitioner | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-05-02 |
| 1942820360 | Gregory Hay | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-04-27 |
| 1568083996 | Aaron Hancock | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699255653 | Natalia Rosa Terreros | Nurse Practitioner | 2080 Childs Street, Jacksonville, FL 32214 | 2018-08-20 |
| 1841586120 | Travis Christopher Allemang | Urology | 2080 Child St Dept 5000, Jacksonville, FL 32214 | 2011-06-24 |
| 1730169202 | Quinn Steven Bastian | Psychologist | 2080 Child Street, Mental Health Dept - Bldg 2034 / Nh Jax, Jacksonville, FL 32214 | 2006-01-19 |
| 1760753982 | Jennifer Marie Brooks | Registered Nurse | 2080 Child Street, Jacksonville, FL 32214 | 2012-01-19 |
| 1114298338 | Louis Humberto Grass IIi | Registered Nurse | 2080 Child Street, Anesthesia Dept, Jacksonville, FL 32214 | 2012-01-19 |
| 1851685713 | John Manning Lydon | Obstetrics & Gynecology | 2080 Child Street, Jacksonville, FL 32214 | 2011-06-07 |
| 1093865693 | Elisha Yvette Hansack | Pharmacist | 2080 Child Street, Jacksonville, FL 32214 | 2007-01-12 |
| 1073544466 | Ren-chang Liu | Radiology | 2080 Child Street, Jacksonville, FL 32214 | 2006-07-05 |
| 1598795742 | Beverly B. Nysewander | Nurse Practitioner | 2080 Child Street, Internal Medicine, Jacksonville, FL 32214 | 2006-07-04 |
| 1841823606 | Christine Due Higgins | Midwife | Naval Hospital Jacksonville 2089 Child St, Jacksonville, FL 32214-0001 | 2020-02-19 |
| Find all providers in zip 32214 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073983417 | Alyssa M. Groat | Military Hospital | 3950 Hill Terrace Dr, Jacksonville, FL 32277-1323 | 2015-09-28 |
| 1427328319 | United States Navy | Military Hospital | 2005 Knight Ln., Bldg H Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2012-01-09 |
| 1083777460 | Tyler Vachon | Military Hospital | Mcas Nr Mag 29 Gas, As 100, Jacksonville, NC 28545-1034 | 2006-12-18 |
| 1487077624 | United States Navy | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5005 | 2014-01-23 |
| 1306184692 | Naval Medical Center San Diego | Military Hospital | 2005 Knight Lane Bldg H, Navy Medicine Support Command, Attn: Medical Staff Serv, Jacksonville, FL 32212-0140 | 2013-01-22 |
| 1902153828 | Naval Medical Center San Diego | Military Hospital | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Servi, Jacksonville, FL 32212-0140 | 2012-08-09 |
| 1518266626 | Veterans Health Care Systems North Florida | Military Hospital | 1015 Ontario St, Jacksonville, FL 32254-2073 | 2011-03-15 |
| 1851521967 | Naval Hospital At Jacksonville | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5005 | 2009-07-23 |
| 1326017419 | Naval Hospital Jacksonville | Military Hospital | 2080 Child St, Naval Hospital Jacksonville- Internal Medicine Clinic, Jacksonville, FL 32214-5005 | 2006-03-14 |
| 1518930536 | Naval Hospital Nas Jacksonville Pharmacy Dept | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5005 | 2006-02-09 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32214 |
Please comment or provide details below to improve the information on NAVAL HOSPITAL JACKSONVILLE.
| 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.