ALYSSA M. GROAT (NPI# 1073983417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073983417 |
| Entity Type | Individual |
| Full Name | ALYSSA M. GROAT |
| Credential | SFIDC |
| Practice Address |
3950 Hill Terrace Dr Jacksonville FL 32277-1323 |
| Mailing Address |
Po Box 280046 Jacksonville FL 32228-0046 |
| Practice Telephone | 2106121614 |
| Mailing Telephone | 9042703806 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | Hospitals |
| Street Address |
3950 HILL TERRACE DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32277-1323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408574 | Ortho 99 Plus 1 | Dentist | 7410 Merrill Road, Suite 2, Jacksonville, FL 32277 | 2020-02-10 |
| 1376042176 | Seginald Rashaad Chaney | Adult Companion | 5885 Edenfield Rd, Charter Landing Apartments Apt E-10, Jacksonville, FL 32277 | 2018-02-07 |
| 1578966875 | Erin Chretien | Behavioral Analyst | 3780 University Club Blvd Apt 3204, Jacksonville, FL 32277 | 2014-09-30 |
| 1518300128 | Michel Joseph Sabra | Surgery | 5053 Toproyal Ln, Jacksonville, FL 32277 | 2013-04-12 |
| 1982977443 | A1 Care Systems Inc | Assisted Living Facility | 7449 Sandhurst Rd S, Jacksonville, FL 32277 | 2012-02-14 |
| 1851453211 | Ajay Doddapaneni | Radiology | 7920 Merrill Rd Unit 708, Jacksonville, FL 32277 | 2006-12-14 |
| 1821184565 | Ramsey Bader Salem | Dentist | 6237 Merrill Road, Jacksonville, FL 32277 | 2006-10-04 |
| 1669913448 | Lalita Kummeth | Nurse Practitioner | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2017-03-14 |
| 1750761094 | Andrew Jervey Hunt | Family Medicine | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2015-06-02 |
| 1629310909 | Arun Joseph | Pediatrics | 6484 Fort Caroline Rd, Jacksonville, FL 32277 | 2013-03-25 |
| Find all providers in zip 32277 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427328319 | United States Navy | Military Hospital | 2005 Knight Ln., Bldg H Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2012-01-09 |
| 1083777460 | Tyler Vachon | Military Hospital | Mcas Nr Mag 29 Gas, As 100, Jacksonville, NC 28545-1034 | 2006-12-18 |
| 1487077624 | United States Navy | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5005 | 2014-01-23 |
| 1306184692 | Naval Medical Center San Diego | Military Hospital | 2005 Knight Lane Bldg H, Navy Medicine Support Command, Attn: Medical Staff Serv, Jacksonville, FL 32212-0140 | 2013-01-22 |
| 1902153828 | Naval Medical Center San Diego | Military Hospital | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Servi, Jacksonville, FL 32212-0140 | 2012-08-09 |
| 1518266626 | Veterans Health Care Systems North Florida | Military Hospital | 1015 Ontario St, Jacksonville, FL 32254-2073 | 2011-03-15 |
| 1891009262 | Naval Hospital Jacksonville | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5000 | 2010-07-28 |
| 1851521967 | Naval Hospital At Jacksonville | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5005 | 2009-07-23 |
| 1326017419 | Naval Hospital Jacksonville | Military Hospital | 2080 Child St, Naval Hospital Jacksonville- Internal Medicine Clinic, Jacksonville, FL 32214-5005 | 2006-03-14 |
| 1518930536 | Naval Hospital Nas Jacksonville Pharmacy Dept | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5005 | 2006-02-09 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32277 |
Please comment or provide details below to improve the information on ALYSSA M. GROAT.
| 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.