DR. ALEXIS A JIMENEZ (NPI# 1942441746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942441746 |
| Entity Type | Individual |
| Full Name | DR. ALEXIS A JIMENEZ |
| Other Name | DR. ALEXIS A JIMENEZ |
| Credential | MD |
| Practice Address |
4796 Hodges Blvd Suite 101 Jacksonville FL 32224 |
| Mailing Address |
Po Box 734905 Dallas TX 75373-4905 |
| Practice Telephone | 9044497246 |
| Practice Fax Number | 9047197571 |
| Mailing Telephone | 9044497246 |
| Mailing Fax Number | 9047197571 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME105097 | FL | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
ME105097 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009558100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 105 Mariner Health Way, Suite 203, St Augustine, FL 320863251 | 9043891010 | 9043891082 |
| 2386 Dunn Ave Ste 111, Jacksonville, FL 322184751 | 9044497246 | 9047197571 |
| 4796 Hodges Blvd, Suite 101, Jacksonville, FL 32224 | 9044497246 | 9047197571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295208445 | Alexis Jimenez | Behavior Technician | 290 W Exchange St, Ste 101, Providence, RI 02903 | 2019-01-09 |
| 1598259301 | Alexis Marie Jimenez | Chore Provider | 2001 S Jones Blvd Ste K, Las Vegas, NV 89146-3165 | 2018-06-15 |
| 1497250526 | Alexis Jimenez | Behavior Technician | 20212 Redwood Rd, Castro Valley, CA 94546-4324 | 2018-03-29 |
| Street Address |
4796 HODGES BLVD SUITE 101 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144290677 | Jerry Richard Foltz II | Anesthesiology | 4796 Hodges Blvd, Suite 101-104, Jacksonville, FL 32224 | 2006-01-26 |
| 1740750967 | Florida Institute of Pain Medicine LLC | Clinic/Center | 4796 Hodges Blvd, Suite 101, Jacksonville, FL 32224 | 2018-11-30 |
| 1033691050 | Northern Florida Anesthesia Services Pllc | Anesthesiology | 4796 Hodges Blvd, Suite 101, Jacksonville, FL 32224 | 2018-09-06 |
| 1225402258 | Ivey Jean Perkins | Physical Therapy Assistant | 4796 Hodges Blvd, Unit 101, Jacksonville, FL 32224 | 2015-11-13 |
| 1194056283 | Florida Institute of Pain Medicine LLC | Anesthesiology | 4796 Hodges Blvd, Suite 101, Jacksonville, FL 32224 | 2010-01-29 |
| 1598801979 | Christopher R Crerar | Nurse Anesthetist, Certified Registered | 4796 Hodges Blvd, Suite 101, Jacksonville, FL 32224 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497006423 | Jacksonville Pain and Injury Center, Inc | Pain Medicine | 4051 Phillips Hwy Ste 2, Jacksonville, FL 32207-6895 | 2012-10-01 |
| 1184945917 | Axiom Pain Management LLC | Pain Medicine | 2160 Dunn Ave, Jacksonville, FL 32218-4718 | 2010-06-16 |
| 1457587891 | Perry Jc Md Pa | Pain Medicine | 7999 Philips Hwy, Ste 302, Jacksonville, FL 32256-4443 | 2009-05-29 |
| 1255351110 | Scott Richard Johnston | Pain Medicine | 250 Huff Dr, Jacksonville, NC 28546-7369 | 2006-07-20 |
| 1194722512 | Craig Allen Kornick | Pain Medicine | 7207 Golden Wings Road, Jacksonville, FL 32244 | 2005-06-30 |
| 1154326973 | Hemant N Shah | Pain Medicine | 9421 Waypoint Pl, Jacksonville, FL 32257-9229 | 2005-06-17 |
| 1487270351 | Formoso Pain Specialists, Pa | Pain Medicine | 11555 Central Pkwy Ste 304, Jacksonville, FL 32224-2694 | 2020-06-17 |
| 1104460096 | Spencer Rice | Pain Medicine | 4063 Salisbury Rd Ste 100, Jacksonville, FL 32216-6199 | 2019-11-04 |
| 1831744549 | Orles Pain Management and Regenerative Medicine Group Pa | Pain Medicine | 4131 University Blvd S Ste 12, Jacksonville, FL 32216-4352 | 2019-08-08 |
| 1760976260 | Jacksonville Spine Center Pa | Pain Medicine | 15255 Max Leggett Pkwy Ste 5500, Jacksonville, FL 32218-7273 | 2018-06-18 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
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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.