National Provider Identifier (NPI)
JACKSONVILLE


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

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.

JACKSONVILLE · 554 KEILY STREET · Search Result

NPI Name Taxonomy Address Enumeration
1326019373 Brian G Norwood Pediatrics 554 Keily Street, Jacksonville, FL 32212 2006-01-29
1811461726 Yocelin Hernandez Rojero Occupational Therapist 554 Keily Street, Jacksonville Fl 32212, Jacksonville, FL 32212 2019-01-14
1609381235 Miranda Shilelagh Schmidt Physician Assistant 554 Keily Street, Jacksonville, FL 32212 2017-12-05
1144733627 Tylisha Elyse Deshields Social Worker 554 Keily Street, Jacksonville, FL 32212 2017-11-07
1326557976 David Michael Tatera Psychologist 554 Keily Street, Jacksonville, FL 32212 2017-09-27
1104335348 Kuang-hui Lee General Practice 554 Keily Street, Jacksonville, FL 32212 2017-09-20
1548788177 Sophia Renee Beal Speech-Language Pathologist 554 Keily Street, Jacksonville, FL 32212 2017-09-04
1164949418 George S Bennitt Dentist 554 Keily Street, Jacksonville, FL 32212-4047 2017-08-28
1124545389 David Phillips Student in an Organized Health Care Education/Training Program 554 Keily Street, Centralized Credential and Privileging Directorate, Jacksonville, FL 32212-2466 2017-08-28
1902323652 Erich Chen Student in an Organized Health Care Education/Training Program 554 Keily Street, Jacksonville, FL 32212 2017-08-24
1871010751 David Facer Dentist 554 Keily Street, Jacksonville, FL 23227 2017-08-23
1265958128 Diana Cole Dentist 554 Keily Street, Jacksonville, FL 32212 2017-08-22
1508382474 Andrew Jon Grinsell General Practice 554 Keily Street, Jacksonville, FL 32212 2017-08-22
1255856415 Lindsay Jane Deacon Dentist 554 Keily Street, Jacksonville, FL 32212-5372 2017-08-09
1063935518 Andrew Steadman Dentist 554 Keily Street, Jacksonville, FL 32212 2017-07-17
1508392077 Angela Wood Dental Hygienist 554 Keily Street, Ccpd Bureau of Med and Surgery, Jacksonville, FL 32212 2017-05-03
1205388287 Ifeanyi Chukwuka Dentist 554 Keily Street, Bureau of Medicine and Surgery - Ccpd, Jacksonville, FL 23321 2016-10-26
1013464577 Terrall Thurman Jr. Dentist 554 Keily Street, Bureau of Medicine and Surgery Ccpd, Jacksonville, FL 32212 2016-09-01
1447706049 Stephen Moreno Dentist 554 Keily Street, Bureauof Medicine and Surgery - Creden, Jacksonville, FL 23312 2016-09-01
1124574769 Zachary J Jin Dentist 554 Keily Street, Bureau of Med and Surg Credentialing and Privilegeing, Jacksonville, FL 32212 2016-09-01
1639625213 Thanh Tang Dentist 554 Keily Street, Bureau of Med and Surg - Credentialing, Jacksonville, FL 32212 2016-09-01
1629524293 Luke Navarro Dentist 554 Keily Street, Bureau of Medicine and Surg Centralized Credentials, Jacksonville, FL 32212 2016-09-01
1407303084 David Carlton Dentist 554 Keily Street, Bureau of Med and Surg - Credentialing and Privileging, Jacksonville, FL 23321 2016-09-01
1528514304 Jordan Morsberger Dentist 554 Keily Street, Bureau of Medicine and Surgery Ccpd, Jacksonville, FL 32212 2016-08-31
1356897235 Lu Wang Dentist 554 Keily Street, Bureau of Medicine and Surgery Ccpd, Jacksonville, FL 32212-0000 2016-08-30
1093261976 Meredith Swisher Dentist 554 Keily Street, Bureau of Medicine and Surgery Ccpd, Jacksonville, FL 32212 2016-08-30
1023478542 Grace Elizabeth Montes General Practice 554 Keily Street, Jacksonville, FL 32212 2016-02-25
1154781748 Julianne Elizabeth Burke General Practice 554 Keily Street, Jacksonville, FL 32212 2016-02-25
1134588098 Rosie Cao Dental Hygienist 554 Keily Street, Ccpd Bureau of Med and Surgery, Jacksonville, FL 32212 2016-02-19
1467818039 Nicholas Bauer General Practice 554 Keily Street, Centralized Credential and Privileging Directorate, Jacksonville, FL 32212 2016-01-12
1275908865 Amanda Harvey Dental Hygienist 554 Keily Street, Bureau of Medicine & Surgery - Credentials and Privileg, Jacksonville, FL 32212 2015-12-08
1962875476 Joseph T Kenny Physical Therapist 554 Keily Street, Jacksonville, FL 32212 2015-11-05
1154792612 John Abram Abordo Dentist 554 Keily Street, Bur of Med & Surg Cred & Priv Division, Jacksonville, FL 23324 2015-10-09
1629449186 Samuel Richards Dentist 554 Keily Street, Bur of Med & Surg Cred & Priv Division, Jacksonville, FL 23324 2015-10-09
1538538632 Aidan Mckinlay Dentist 554 Keily Street, Bureau of Med and Surgery -credentialing, Jacksonville, FL 32212 2015-09-18
1700254034 Samantha Jette Dentist 554 Keily Street, Bur of Med and Surg - Cred and Privileging Div, Jacksonville, FL 23324 2015-09-03
1124494331 Whitney Weimerskirch Dentist 554 Keily Street, Bureau of Med and Surgery Ccpd, Jacksonville, FL 32212 2015-08-12
1437534591 Kristina Rached Psychiatry & Neurology 554 Keily Street, Jacksonville, FL 32212-1227 2015-07-29
1750766333 Naketa George Dental Hygienist 554 Keily Street, Bureau of Medicine and Surgery-credentials, Jacksonville, FL 32212 2015-07-24
1528440146 Kenneth Craig Hobbs Dentist 554 Keily Street, Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 2015-06-19
1992187637 Alvin Reginald Samuels Jr. Dentist 554 Keily Street, Bureau of Med and Surg - Ccpd, Jacksonville, FL 32212 2015-06-18
1891185229 Chad Andrew Thompson General Practice 554 Keily Street, Jacksonville, FL 32212 2015-01-22
1477942548 Thamar Sarwar Dentist 554 Keily Street, Bureau of Med and Surgery Cent Credentials, Jacksonville, FL 32212 2015-01-13
1679976724 Anthony Ray Brazil Dentist 554 Keily Street, Bureau of Med and Surgery, Centralized Cred and Priv, Jacksonville, FL 32312 2014-10-03
1720488133 Catherine Daniel Dentist 554 Keily Street, Bureau of Medicine and Surgery Cred and Priv, Jacksonville, FL 32212 2014-09-04
1083014435 Vincent Ferretti Dentist 554 Keily Street, Bureau of Medicine and Surgery Cent Cred and Priv Dir, Jacksonville, FL 32212 2014-09-03
1679973259 Matthew Torres Dentist 554 Keily Street, Bureau of Medicine & Surg Cent Credentials & Privilegin, Jacksonville, FL 32212 2014-09-02
1770982993 John Jenista Dentist 554 Keily Street, Bureau of Medicine and Surgery - Credentials & Privileg, Jacksonville, FL 32212 2014-08-14
1518375054 Eric Olendorf Dentist 554 Keily Street, Bureau of Med and Surg Centralized Cred & Privilegeing, Jacksonville, FL 32212 2014-07-29
1861800302 Steve Milord Dentist 554 Keily Street, Bureau of Medicine and Surgery -centralized Credentials, Jacksonville, FL 32212 2014-07-29
1730597451 Thanayi Hopson Dental Hygienist 554 Keily Street, Bureau of Medicine and Surg Centralized Cred and Priv, Jacksonville, FL 32212 2014-07-25
1720496631 Angel Hardison Dental Hygienist 554 Keily Street, Bureau of Medicine and Surgery Ccpd, Jacksonville, FL 32212 2014-07-24
1386052116 Carter Schmidt Dentist 554 Keily Street, Bureau of Medicine and Surgery Ccpt, Jacksonville, FL 32212 2014-07-24
1891102992 Mary Mcginn Dentist 554 Keily Street, Bureau of Med and Surg Cent Cred & Priv Directorate, Jacksonville, FL 32212 2014-07-21
1962819623 Allison Weinberg Dentist 554 Keily Street, Bureau of Med and Surgery Credentials, Jacksonville, FL 32212 2014-07-15
1538573308 David Rothwell Dentist 554 Keily Street, Bureau of Med and Surgery, Centralized Cred & Priv, Jacksonville, FL 32212 2014-06-19
1467866327 Heidi Novak Dentist 554 Keily Street, Bureau of Med and Surgery, Centralized Cred and Priv, Jacksonville, FL 32312 2014-06-18
1174940027 Derek William Grady General Practice 554 Keily Street, Jacksonville, FL 32212 2014-03-27
1184040271 Matthew Vanston Speicher Emergency Medicine 554 Keily Street, Jacksonville, FL 32212 2014-03-13
1043636202 Grady Ausbur Fortner Emergency Medicine 554 Keily Street, Jacksonville, FL 32212 2014-03-12
1295151785 Ashley Fang Internal Medicine 554 Keily Street, Jacksonville, FL 32212 2014-03-09
1790100113 Courtney Detring Pediatrics 554 Keily Street, Jacksonville, FL 32212 2014-02-21
1902221419 Brendan Adam Jones General Practice 554 Keily Street, Jacksonville, FL 32212 2014-02-20
1790109866 Jeffrey Biberston Internal Medicine 554 Keily Street, Jacksonville, FL 32212 2014-02-10
1255755716 Kyle Grimes Pediatrics 554 Keily Street, Jacksonville, FL 32212 2014-02-04
1659794279 Joshua David Eubanks Pediatrics 554 Keily Street, Jacksonville, FL 32212 2014-02-03
1871915454 Elisha Jno-baptiste General Practice 554 Keily Street, Bureau of Medicine and Surgery, Jacksonville, FL 32212 2014-01-15
1740618958 Emily Summerlin Dentist 554 Keily Street, Bureau of Medicine and Surgery-centralized Credentials, Jacksonville, FL 32212 2013-10-25
1225462054 Tyler Scott Way Dentist 554 Keily Street, Bumed, Centralized Cred & Priv Directorate, Jacksonville, FL 32212 2013-08-28
1568895977 Kevin William Ryan Dentist 554 Keily Street, Bumed Centralized Credential & Privileging Directorate, Jacksonville, FL 32212 2013-08-21
1871935262 Taylor Aaron Parker Dentist 554 Keily Street, Bureau of Medicine and Surgery Ccpd, Jacksonville, FL 32212 2013-07-25
1073953782 Terrance Lee Leighton IIi Student in an Organized Health Care Education/Training Program 554 Keily Street, Attn: Central Credential and Privileging Directorate, Jacksonville, FL 32212 2013-06-26
1902245103 Andrew Joseph Hogan Student in an Organized Health Care Education/Training Program 554 Keily Street, Bureau Med Surg; Attn: Credentialing & Privileging, Jacksonville, FL 32212 2013-06-20
1952740540 Jennifer L Craig Clinic/Center 554 Keily Street, Bureau of Medicine, Jacksonville, FL 32212 2013-06-18
1093154866 Andrew Scott Benson Pharmacist 554 Keily Street, Bureau of Medicine (centralized Credentialing), Jacksonville, FL 32212 2013-06-14
1689012585 Jian Xu Student in an Organized Health Care Education/Training Program 554 Keily Street, Bureau of Medicine (centralized Credentialing), Jacksonville, FL 32212 2013-06-13
1861835977 Mark Mcinturff Pathology 554 Keily Street, Jacksonville, FL 32212 2013-04-09
1114269826 Eric Palmer Jones Radiology 554 Keily Street, Jacksonville, FL 32212 2013-03-20
1225378110 Gregory Condos Internal Medicine 554 Keily Street, Jacksonville, FL 32212 2013-02-28
1407195548 Adrianna Isabel Kyle Emergency Medicine 554 Keily Street, Jacksonville, FL 32212 2013-02-09
1952640641 Jonathan A Mayhew Pediatrics 554 Keily Street, Jacksonville, FL 32212 2013-01-31
1063775351 Ryan David Scully Orthopaedic Surgery 554 Keily Street, Jacksonville, FL 32212 2012-06-21
1184990590 Dominic Lee Van Nielen Orthopaedic Surgery 554 Keily Street, Jacksonville, FL 32212 2012-03-29
1992077317 Jennifer L Ottino Surgery 554 Keily Street, Bureau of Med & Surg Centralized Credential/privileg, Jacksonville, FL 32212 2012-01-31
1104111632 Christopher Scott Love Pediatrics 554 Keily Street, Jacksonville, FL 32212 2011-06-13
1023303583 Erin Rae Spadaro Hamersley Otolaryngology 554 Keily Street, Jacksonville, FL 32212 2011-06-13
1215246939 Lauren Joyce Hughes Nurse Practitioner 554 Keily Street, Jacksonville, FL 32212 2010-09-29
1184935983 Kent Michael Hall Radiology 554 Keily Street, Jacksonville, FL 32212 2010-06-25
1609187517 Charles Johnson Radiology 554 Keily Street, Jacksonville, FL 32212 2010-06-24
1437386588 Jeffrey Charles Worthley Radiology 554 Keily Street, Bureau of Medicine and Surgery, Jacksonville, FL 32212 2009-06-16
1043447113 Gordon Thomas Markham Emergency Medicine 554 Keily Street, Jacksonville, FL 32212 2009-06-16
1417184946 Michael E. A. Cunningham Pediatrics 554 Keily Street, Bumed Centralized Credential and Privileging Directorat, Jacksonville, FL 32212 2009-06-11
1124287370 Ryan Restrepo Surgery 554 Keily Street, Bureau of Medicine and Surgery (credentialing), Jacksonville, FL 32212 2008-06-03
1992972137 William Harrell Ward Jr. Surgery 554 Keily Street, Bumed Centralized Credential and Privileging, Jacksonville, FL 32212 2008-05-15
1053583443 Benjamin David Hoagland Surgery 554 Keily Street, Jacksonville, FL 32212-1312 2008-03-26
1235339383 Levi K Kitchen Emergency Medicine 554 Keily Street, Bureau of Medicine and Surgery, Jacksonville, FL 32212 2007-07-18
1043425614 John D. York Radiology 554 Keily Street, Bumed Ccpd, Jacksonville, FL 32212 2007-05-14
1962585968 Coleman J Bryan Jr. Pediatrics 554 Keily Street, Jacksonville, FL 32212 2006-10-23
1598853749 Sadie Mar Henry General Practice 554 Keily Street, Jacksonville, FL 32212 2006-10-11
1679669071 Eric Alan Eliason Audiologist 554 Keily Street, Centralized Credential and Privileging Directorate, Jacksonville, FL 32212-8014 2006-10-04