SCOT N ACKERMAN


Address: 1801 Barrs St, Cancer Center, Jacksonville, FL 32204-4732
Phone: 9043083848

SCOT N ACKERMAN (NPI# 1942205364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942205364
Entity Type Individual
Full Name SCOT N ACKERMAN
Credential M.D.
Practice Address 1801 Barrs St
Cancer Center
Jacksonville
FL 32204-4732
Mailing Address 10881 San Jose Blvd
Jacksonville
FL 32223-6612
Practice Telephone 9043083848
Practice Fax Number 9043086024
Mailing Telephone 9048805522
Mailing Fax Number 9048805533
Enumeration Date 2005-06-14
Last Update Date 2012-09-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
ME52956 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL AVMED 206922 01
FL RAILROAD MEDICARE 300019643 01
FL CIGNA 140375200 01
FL HEALTHEASE 08427 01
FL UNITED HEALTHCARE 3602303 01
FL 379520900 05
FL G H I 4000116 01
FL WELLCARE 28751 01
GA 00457553A 05

Office Location

Street Address 1801 BARRS ST
CANCER CENTER
City JACKSONVILLE
State FL
Zip Code 32204-4732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104829399 Jay R Patterson Internal Medicine 1801 Barrs St, Ste 500, Jacksonville, FL 32204-4746 2005-05-23
1821321134 Yasser Hussain Internal Medicine 1801 Barrs St, Jacksonville, FL 32204-4732 2009-09-18
1902964000 St Vincents Electrocardiography, Inc Specialist 1801 Barrs St, Suite 510, Jacksonville, FL 32204-4732 2006-12-04
1407928856 William M Wettstein Physician Assistant 1801 Barrs St, #300, Jacksonville, FL 32204-4732 2006-11-14
1083660054 Eric M. Gabriel, M.d., P.a. Clinic/Center 1801 Barrs St, Suite 120, Jacksonville, FL 32204-4732 2006-05-25
1548210123 Marie-cecile Spiegel Registered Nurse 1801 Barrs St, Ste 900, Jacksonville, FL 32204-4732 2006-05-12
1275583122 Lisa J Smith Nurse Practitioner 1801 Barrs St, Suite 500, Jacksonville, FL 32204-4732 2006-05-11
1649243189 Ross T Krueger Specialist 1801 Barrs St, Suite 605, Jacksonville, FL 32204-4732 2006-02-07
1184610420 North Florida Otolaryngology Associates Pa Otolaryngology 1801 Barrs St, Suite 700, Jacksonville, FL 32204-4732 2005-09-22
1346235249 George L Mayer Obstetrics & Gynecology 1801 Barrs St, Suite 625, Jacksonville, FL 32204-4732 2005-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437719853 North Florida Surgeons, Pa Orthopaedic Surgery 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 2019-06-18
1770043531 Manuel Viado Rosas Physical Therapist Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 2019-03-20
1255805172 Tracie Nickole Singh Marriage & Family Therapist 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 2019-01-14
1427548544 Bold City Therapy and Wellness LLC Clinic/Center 2054 Park Street, Jacksonville, FL 32204 2018-05-14
1356883078 Lcn Enterprise, LLC Case Manager/Care Coordinator 1225 W Beaver St Ste 106, Jacksonville, FL 32204 2016-11-11
1073065082 Prosser and Prosser LLC Non-emergency Medical Transport (VAN) 2120 Ernest St, Jacksonville, FL 32204 2016-10-26
1336529817 Nader Daoud Internal Medicine 1 Shircliffway, Jacksonville, FL 32204 2015-06-01
1194119214 Benjamin James Dionne Internal Medicine 2 Shircliff Way Ste 400, Jacksonville, FL 32204 2015-03-26
1598187932 Jamara Stephens Counselor 1225 W Beaver St Ste 205, Jacksonville, FL 32204 2014-01-18
1154743961 Kathleen Jasper Nurse Anesthetist, Certified Registered 2165 Herschel Street, Jacksonville, FL 32204 2014-01-14
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033544390 Florida Physician Specialists LLC Radiology 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 2013-09-05
1962662775 Curtis Michael Bryant Radiology 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 2008-06-15
1275791055 Bradford Scott Hoppe Radiology 4500 San Pablo Rd, Jacksonville, FL 32224 2008-05-28
1023282456 Jacksonville Radiation Therapy Services LLC Radiology 7751 Baymeadows Road E, Jacksonville, FL 32256 2008-04-16
1033213038 Jacksonville Oncology Institute Limited Radiology 567 N Westgate Ave, Jacksonville, IL 62650-1156 2006-09-11
1689630949 Mark Emerson Augspurger Radiology 14546 Old Saint Augustine Rd Ste 105, Jacksonville, FL 32258-5469 2006-04-25
1245296904 Ahmed M Akl Radiology 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 2006-04-21
1649231291 Randal Hollis Henderson Radiology 2015 N. Jefferson St., Jacksonville, FL 32206 2006-03-31
1679555270 Romaine Charles Nichols Jr. Radiology 2015 Jefferson St, Jacksonville, FL 32206-3531 2005-11-18
1972508299 Paul B Ossi Radiology 10881 San Jose Blvd, Jacksonville, FL 32223-6612 2005-06-14
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Competitor

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City JACKSONVILLE
Zip Code 32204

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Dataset Information

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.

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