ALFRED D HARDING JR. (NPI# 1083616254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083616254 |
| Entity Type | Individual |
| Full Name | ALFRED D HARDING JR. |
| Credential | MD |
| Practice Address |
1824 King St Ste 200 Jacksonville FL 32204-4736 |
| Practice Telephone | 9043843343 |
| Practice Fax Number | 9044006671 |
| Mailing Telephone | 9043843343 |
| Mailing Fax Number | 9044006671 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2018-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME56897 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 062698800 | 05 | |
| MEDICARE RAILROAD | 020039804 | 01 |
| Street Address |
1824 KING ST STE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858749 | Raymond Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1824 King St Ste 200, Jacksonville, FL 32204-4736 | 2005-06-01 |
| 1902880826 | Richard R Proia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1824 King St Ste 200, Jacksonville, FL 32204 | 2005-12-05 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972882777 | Michael Jos Sweeney | Surgery | 2917 Grand Ave, Jacksonville, FL 32210-4405 | 2011-08-10 |
| 1780068460 | Surgery Clinic, LLC | Surgery | 320 Branscomb Dr Sw, Suite B, Jacksonville, AL 36265-3101 | 2015-07-13 |
| 1417210717 | Adil Arshad Khan | Surgery | 3599 University Blvd S, Ste 602, Jacksonville, FL 32216 | 2012-06-21 |
| 1518257674 | Jared Todd Feyko | Surgery | 836 Prudential Dr, Ste 1804, Jacksonville, FL 32207 | 2011-04-11 |
| 1972795755 | Sara E Clark | Surgery | 1824 King St, Ste 200, Jacksonville, FL 32204-4735 | 2007-08-15 |
| 1578780672 | Houssam Farres | Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2007-04-19 |
| 1922028026 | Danny H Vo | Surgery | 3599 University Blvd S, Ste 602, Jacksonville, FL 32216 | 2006-07-20 |
| 1477571008 | Robert G Ellison Jr. | Surgery | 836 Prudential Dr, Suite 1405, Jacksonville, FL 32207-8334 | 2006-07-18 |
| 1831174044 | Jon Christian Allmon | Surgery | 1824 King St, Ste 200, Jacksonville, FL 32204 | 2005-12-09 |
| 1124018924 | Albert Hakaim | Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-10-24 |
| 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.