Grant T Whittaker (NPI# 1073710992, PAC ID# 4587801154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1073710992 |
| PAC ID by PECOS | 4587801154 |
| Professional Enrollment ID | I20140820001247 |
| Full Name | Grant T Whittaker |
| Organization Legal Name | BORLAND-GROOVER CLINIC PA |
| Address |
4800 Belfort Rd Jacksonville FL 32256-6004 |
| Phone Number | 9043987205 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 6507761301 |
| Number of Group Practice Members | 76 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100140 | BAPTIST MEDICAL CENTER NASSAU |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 4800 Belfort Rd, Jacksonville, FL 32256-6004 | 9043987205 | BORLAND-GROOVER CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | BORLAND-GROOVER CLINIC PA |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vrushak N Deshpande | Gastroenterology | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Bharat K Misra | Gastroenterology | Borland-groover Clinic Pa | 3627 University S Blvd, Suite 705, Jacksonville, FL 32216-7403 |
| Daniel A Scharifker | Pathology | Borland-groover Clinic Pa | 5150 Linton Blvd, Suite 250, Delray Beach, FL 33484-6528 |
| Robert M Aportela | Pathology | Borland-groover Clinic Pa | 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335 |
| Michael Ibach | Gastroenterology | Borland-groover Clinic Pa | 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335 |
| Nassim Youssef El Hajj | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Shenelle Davis Paulson | Nurse Practitioner | Borland-groover Clinic Pa | 3 Shircliff Way, Suite 400, Jacksonville, FL 32204-4780 |
| Jennifer F Marzoug | Nurse Practitioner | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Jeffrey S Hoffman | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| William F Foody | Gastroenterology | Borland-groover Clinic Pa | 100 Whetstone Pl, Suite 105, Saint Augustine, FL 32086-5775 |
| Street Address |
4800 BELFORT RD |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32256-6004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce J Wallace | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Nassim Youssef El Hajj | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Jennifer F Marzoug | Nurse Practitioner | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Jeffrey S Hoffman | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Mark Fleisher | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Harvey G Phillips | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Debra Forte | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Jason Howard Ross | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Darrel A Kalinski | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| David A Smith | Certified Registered Nurse Anesthetist (crna) | Jax Anesthesia Providers LLC | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manish Relan | Internal Medicine | American Arthritis and Rheumatology Associates LLC | 9191 Rg Skinner Pkwy, Suite 401, Jacksonville, FL 32256 |
| Tracy Riley | Clinical Social Worker | 10151 Deerwood Park Blvd, Suite 200 250, Jacksonville, FL 32256-0589 | |
| Stephanie Nicole Burkhalter | Nurse Practitioner | Md2u Florida LLC | 10151 Deerwood Park Blvd, Suite 200 250, Jacksonville, FL 32256-0589 |
| Brian Armitage | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Scott L Thiele | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Bradley Kirchner | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Michael L Hay | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Jon S Walker | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Ann-marie Connolly | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Jack Rubin | Optometry | Dr. Ted Brink and Associates Pa | 10300 Southside Blvd, Suite 238, Jacksonville, FL 32256-0743 |
| Find all physicians in zip 32256 | |||
| City | JACKSONVILLE |
| Zip Code | 32256 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | JACKSONVILLE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Grant T Whittaker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.