DR. OM P KAPOOR (NPI# 1891733952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891733952 |
| Entity Type | Individual |
| Full Name | DR. OM P KAPOOR |
| Credential | MD |
| Practice Address |
4131 University Blvd S Ste 3 Jacksonville FL 32216-4346 |
| Mailing Address |
10981 Hickory Trace Ln Jacksonville FL 32256-2319 |
| Practice Telephone | 9043129201 |
| Practice Fax Number | 9043129202 |
| Mailing Telephone | 9043129201 |
| Mailing Fax Number | 9043129202 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
ME101418 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | ME101418 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
ME101418 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P00641042 | 01 |
| FL | 281253300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6349 Beach Blvd, Jacksonville, FL 322162707 | 9047211919 | |
| 820 Prudential Dr Ste 515, Credentialing Department, Jacksonville, FL 322078207 | 9043964886 | 9043980496 |
| Street Address |
4131 UNIVERSITY BLVD S STE 3 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578179586 | Fair and Balanced, LLC | General Practice | 4131 University Blvd S Ste 3, Jacksonville, FL 32216-4346 | 2020-09-16 |
| 1154710788 | Sriganesh Wellness | Community/Behavioral Health | 4131 University Blvd S Ste 3, Jacksonville, FL 32216-4346 | 2015-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| 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 | 32216 |
Please comment or provide details below to improve the information on DR. OM P KAPOOR.
| 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.