MAYO CLINIC (NPI# 1023405065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023405065 |
| Entity Type | Organization |
| Organization Name | MAYO CLINIC |
| Practice Address |
4500 San Pablo Rd S Jacksonville FL 32224-1865 |
| Mailing Address |
4500 San Pablo Rd. Jacksonville FL 32224 |
| Practice Telephone | 9049537330 |
| Mailing Telephone | 9049537330 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | DR. DAVID THIEL (DEPARTMENT CHAIR) |
| Authorized Official Telephone | 9049537330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
PA 3550 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083249577 | Mayo Clinic | Clinical Medical Laboratory | 200 1st St Sw, Rochester, MN 55905-0002 | 2020-03-05 |
| 1912403536 | Mayo Clinic | Clinic/Center | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-04-03 |
| 1538568928 | Mayo Clinic | Clinic/Center | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-08-21 |
| 1114343860 | Mayo Clinic | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-03-05 |
| 1881018208 | Mayo Clinic | Clinic/Center | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-02-05 |
| 1821326570 | Mayo Clinic | Ambulance | 1216 Second Street Sw, Rochester, MN 55902-1906 | 2009-11-18 |
| 1164758868 | Mayo Clinic | Hospice Care, Community Based | 200 First Street Sw, Rochester, MN 55905-0001 | 2009-10-30 |
| 1588895643 | Mayo Clinic | Case Management | 200 1st St Sw, Rochester, MN 55905-0001 | 2009-08-06 |
| 1467622092 | Mayo Clinic | Durable Medical Equipment & Medical Supplies | 3041 Stonehedge Dr Ne, Rochester, MN 55906-5426 | 2008-03-11 |
| 1427235068 | Mayo Clinic | Clinic/Center | 200 1st St Sw, Rochester, MN 55905-0001 | 2008-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAYO CLINIC | 701 Hewitt Blvd, Red Wing, MN 55066-2848 |
| Iowa Business Entities | MAYO CLINIC | 200 First St Sw, Rochester, MN 55905 |
| Oklahoma Business Registrations | MAYO CLINIC | 200 First St Nw, Rochester, MN 55905 |
| Ohio Business Entities | MAYO CLINIC HEALTH SOLUTIONS | 4001 41st Street Nw, Rochester, MN 55901 |
| System for Award Management (SAM) Entities | MAYO CLINIC HEALTH SYSTEM | 32021 County 24 Blvd, Cannon Falls, MN 55009-5003 |
| System for Award Management (SAM) Entities | MAYO CLINIC HEALTH SYSTEM--OWATONNA | 2200 Nw 26th St, Owatonna, MN 55060-5503 |
| Iowa Business Entities | MAYO CLINIC HEALTH SYSTEM-DECORAH CLINIC PHYSICIANS | 901 Montgomery St, Decorah, IA 52101 |
| Iowa Business Entities | MAYO CLINIC HEALTH SYSTEM-FAIRMONT | 800 Medical Ctr Dr, Fairmont, MN 56031 |
| System for Award Management (SAM) Entities | MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC. | 700 W Ave S, La Crosse, WI 54601-4783 |
| Iowa Business Entities | MAYO CLINIC HEALTH SYSTEM-FRANCISCAN MEDICAL CENTER, INC. | 1329 Main St, Lansing, IA 52151 |
| Street Address |
4500 SAN PABLO RD S |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224-1865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799136 | Richard Clarke Agnew | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-06-01 |
| 1427657964 | Brianna Iannarelli | Nurse Anesthetist, Certified Registered | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-24 |
| 1538768981 | Heather Anne Dahlen | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-17 |
| 1578161717 | Szilvia Fortner | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-10 |
| 1265049464 | Carolyn Gonzalez | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-09-30 |
| 1467065748 | Ifeloluwa A Olutola | Family Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-26 |
| 1366055568 | Krina Dipak Vyas | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-26 |
| 1356954911 | Haleigh Diane Shelton | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-24 |
| 1215548805 | Victoria Zeilinger Reams | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-16 |
| 1558971382 | Rachel Marie Hannon | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-06 |
| Find all providers in the same location | ||||
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881221075 | Simmons Pediatrics | Clinic/Center | 1771 Edgewood Ave W Ste 1, Jacksonville, FL 32208-7208 | 2020-03-26 |
| 1104218973 | Cardiohealth | Clinic/Center | 3599 University Blvd S Ste 104, Jacksonville, FL 32216-4200 | 2015-03-03 |
| 1386945582 | Barbara Ioannides Rappaport,md,pa | Clinic/Center | 8833 Perimeter Park Blvd Ste 203, Jacksonville, FL 32216-1111 | 2010-11-04 |
| 1245477991 | University of Florida College of Medicine | Clinic/Center | 4539 Beach Blvd, Jacksonville, FL 32207-4738 | 2009-01-17 |
| 1376753632 | Mclane Medical, Inc. | Clinic/Center | 140 Gateway Cir Unit 6, Jacksonville, FL 32259-4085 | 2007-05-23 |
| 1801457296 | Integrity Spine and Orthopedics, LLC | Clinic/Center | 4235 Sunbeam Rd, Jacksonville, FL 32257-6013 | 2019-06-26 |
| 1518361393 | Ace Diagnostics LLC | Clinic/Center | 8130 Baymeadows Cir, Suite #109, Jacksonville, FL 32256-1880 | 2014-10-22 |
| 1164677332 | Carolina Pines Medical, PC | Clinic/Center | 3215 Henderson Dr, Jacksonville, NC 28546-5251 | 2008-12-01 |
| 1952551467 | Academic Dermatology Consultants Pa | Clinic/Center | 1514 Nira St, Jacksonville, FL 32207-9702 | 2008-09-22 |
| 1851554612 | Jacksonville Pediatric and Adult Congenital Cardiology | Clinic/Center | 8075 Gate Pkwy W, Suite 203, Jacksonville, FL 32216-3684 | 2008-07-02 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
Please comment or provide details below to improve the information on MAYO CLINIC.
| 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.