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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME52956 | FL | Allopathic & Osteopathic Physicians |
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 |
Street Address |
1801 BARRS ST CANCER CENTER |
City | JACKSONVILLE |
State | FL |
Zip Code | 32204-4732 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 32204 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
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 |
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 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32204 |
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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.