JOSHUA TATUM (NPI# 1932468055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932468055 |
| Entity Type | Individual |
| Full Name | JOSHUA TATUM |
| Credential | M.D. |
| Practice Address |
Naval Hospital Jacksonville 2080 Child Street Jacksonville FL 32214-0001 |
| Mailing Address |
7959 S Vincennes Way Centennial CO 80112-3332 |
| Practice Telephone | 9045427836 |
| Mailing Telephone | 9703960698 |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225566540 | Joshua Stewart Tatum | Specialist/Technologist, Other | 833 Campbell Hill St Nw Ste 280, Marietta, GA 30060-1162 | 2017-05-31 |
| 1447570973 | Joshua Everett Tatum | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2010-06-07 |
| Street Address |
NAVAL HOSPITAL JACKSONVILLE 2080 CHILD STREET |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32214-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972590826 | Jennifer Lisa Vedral-baron | Nurse Practitioner | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2005-10-05 |
| 1386178101 | Tej Bhula Diah | Dentist | Naval Hospital Jacksonville, Jacksonville, FL 32214-0001 | 2017-04-18 |
| 1588032809 | Ralee Spooner | Dentist | Naval Hospital Jacksonville, 2080 Child St., Jacksonville, FL 32214-0001 | 2015-09-03 |
| 1114367562 | Lundon Shari Brown | Registered Nurse | Naval Hospital Jacksonville, Jacksonville, FL 32214-0001 | 2013-06-30 |
| 1700126026 | James Dominic Haddad | Internal Medicine | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2013-02-23 |
| 1790051118 | Robert Merle Obryan | Emergency Medicine | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2012-03-29 |
| 1265709869 | Christine Dahl Davies | Nurse Practitioner | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2011-11-27 |
| 1578707444 | Laurie Ann Hale | Nurse Practitioner | Naval Hospital Jacksonville, 2018 Child Street, Jacksonville, FL 32214-0001 | 2009-04-23 |
| 1073697025 | Kristian E Sanchack | Family Medicine | Naval Hospital Jacksonville, 2080 Childs St, Jacksonville, FL 32214-0001 | 2006-10-25 |
| 1003820887 | Veronica Carranza Rios | Emergency Medicine | Naval Hospital Jacksonville, 2080 Child Street, Jacksonville, FL 32214-0001 | 2006-07-28 |
| 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 |
| 1407342314 | Jeremiah D. Bond | Nurse Anesthetist, Certified Registered | 2080 Child St, Jacksonville, FL 32214 | 2018-07-03 |
| 1295228393 | Christopher John Gilbertson | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2018-06-13 |
| 1043714405 | Adam Blake Hoynacki | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
| 1154825461 | Andrew Charles Caudill | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
| 1114447950 | Brenna Michelle Smith | Pharmacist | 2080 Child St, Jacksonville, FL 32214 | 2017-06-22 |
| 1639558687 | Catherine Phuong-tu Perrault | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214 | 2015-05-22 |
| 1184044950 | Jason Michael Pesqueira | Student in an Organized Health Care Education/Training Program | 2080 Child St, Family Medicine Clinic, Jacksonville, FL 32214 | 2014-04-21 |
| Find all providers in zip 32214 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860711 | Lee Thomas Hagenbaumer | Student in an Organized Health Care Education/Training Program | 10100 Baymeadows Rd Apt 802, Jacksonville, FL 32256-7196 | 2020-10-27 |
| 1508463456 | Juana Maria Hodac | Student in an Organized Health Care Education/Training Program | 8680 Baymeadows Rd E Apt 1018, Jacksonville, FL 32256-3994 | 2020-10-05 |
| 1366053043 | Amanda Brunner | Student in an Organized Health Care Education/Training Program | 404 Henry Rd Sw, Jacksonville, AL 36265-3338 | 2020-08-14 |
| 1528679206 | Deandrea Joice Stowe | Student in an Organized Health Care Education/Training Program | 519 Ladiga St Se, Jacksonville, AL 36265-2691 | 2020-08-14 |
| 1558970558 | Imran Ahmed Mridha | Student in an Organized Health Care Education/Training Program | 7932 Southside Blvd Apt 2409, Jacksonville, FL 32256-7958 | 2020-07-24 |
| 1750908588 | Irissel Rodriguez | Student in an Organized Health Care Education/Training Program | 2800 University Blvd S Apt 282, Jacksonville, FL 32216-2587 | 2020-06-27 |
| 1629692413 | Diana Piotrowski | Student in an Organized Health Care Education/Training Program | 100 Magnolia St Apt 6105, Jacksonville, FL 32204-2256 | 2020-06-08 |
| 1922622778 | Ryan D'armond Navarre | Student in an Organized Health Care Education/Training Program | 100 Magnolia St Apt 6213, Jacksonville, FL 32204-2257 | 2020-06-07 |
| 1063036937 | Karen Rebecca Clement | Student in an Organized Health Care Education/Training Program | 4929 Skyway Dr Apt 5212, Jacksonville, FL 32246-0047 | 2020-06-05 |
| 1134743107 | Christine Lalime | Student in an Organized Health Care Education/Training Program | 220 Riverside Ave Unit 203, Jacksonville, FL 32202-4947 | 2020-06-04 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32214 |
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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.