DR. MARK A MOSTOVYCH (NPI# 1043212269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043212269 |
| Entity Type | Individual |
| Full Name | DR. MARK A MOSTOVYCH |
| Credential | MD |
| Practice Address |
1824 King St Ste 200 Jacksonville FL 32204-4735 |
| Practice Telephone | 9043843343 |
| Practice Fax Number | 9044006671 |
| Mailing Telephone | 9043843343 |
| Mailing Fax Number | 9044006671 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME70190 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 250218600 | 05 | |
| MEDICARE RAILROAD | 780000717 | 01 |
| Street Address |
1824 KING ST STE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162664 | Sonya L Lefever | Internal Medicine | 1824 King St, Suite 300, Jacksonville, FL 32204-4735 | 2005-05-23 |
| 1093291205 | Christelle Genis | Physician Assistant | 1824 King St, Ste 200, Jacksonville, FL 32204 | 2018-07-11 |
| 1922465897 | Denise Smith | Nurse Practitioner | 1824 King St, Ste 300, Jacksonville, FL 32204-4735 | 2016-01-24 |
| 1184094716 | Bryn A Murphy | Physician Assistant | 1824 King St, Ste 200, Jacksonville, FL 32204-4735 | 2015-09-24 |
| 1992173173 | Angela Baker | Nurse Practitioner | 1824 King St, Suite 300, Jacksonville, FL 32204-4735 | 2015-09-04 |
| 1376941799 | Carolyn Mascho | Nurse Practitioner | 1824 King St, Jacksonville, FL 32204-4735 | 2014-12-17 |
| 1467884171 | Faith Togbeh Snyder | Nurse Practitioner | 1824 King St, Suite 300, Jacksonville, FL 32204-4735 | 2013-08-05 |
| 1699117408 | Bethany Jean Bell | Nurse Practitioner | 1824 King St, Suite 300, Jacksonville, FL 32204-4736 | 2013-07-22 |
| 1538496088 | Nathan Alan Horn | Physician Assistant | 1824 King St, Suite 200, Jacksonville, FL 32204-4735 | 2009-11-04 |
| 1881835650 | Julius A Carillo | Surgery | 1824 King St, Ste 200, Jacksonville, FL 32204 | 2009-03-09 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184063521 | Walter Smithwick IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Prince Edward Rd, Jacksonville, FL 32210-8118 | 2013-06-19 |
| 1699081356 | Giancarlo Bertozzi Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3599 University Blvd S Ste 802, Jacksonville, FL 32216-4258 | 2010-08-19 |
| 1881763704 | Vasant Jayasankar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 836 Prudential Dr Ste 1804, Jacksonville, FL 32207 | 2006-11-07 |
| 1063485506 | Eric Lee Ceithaml | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 836 Prudential Dr Ste 802, Jacksonville, FL 32207-8335 | 2006-02-07 |
| 1891799136 | Richard Clarke Agnew | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-06-01 |
| 1407858749 | Raymond Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1824 King St Ste 200, Jacksonville, FL 32204-4736 | 2005-06-01 |
| 1386206720 | Jorge Marcelo Sanjines | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 655 W 8th St, Jacksonville, FL 32209-6511 | 2019-07-06 |
| 1285149138 | Baptist Specialty Physicians Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 836 Prudential Dr Ste 807, Jacksonville, FL 32207-8335 | 2017-12-13 |
| 1730699703 | Breah Lynn Paciotti | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2017-10-04 |
| 1932517877 | Magdy El-sayed Ahmed | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2014-07-23 |
| 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.