BAPTIST NEUROLOGY INC (NPI# 1104058874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104058874 |
| Entity Type | Organization |
| Organization Name | BAPTIST NEUROLOGY INC |
| Practice Address |
1370 13th Ave S Suite 215 Jacksonville Beach FL 32250-3230 |
| Mailing Address |
Po Box 41113 Jacksonville FL 32203-1113 |
| Practice Telephone | 9042491041 |
| Practice Fax Number | 9042499764 |
| Mailing Telephone | 9043764400 |
| Mailing Fax Number | 9043915595 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2010-06-25 |
| Authorized Official Name | EARL B MALLY (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9043764275 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083019772 | Baptist Neurology Inc | Neurological Surgery | 1747 Baptist Clay Dr, Suite 310, Attn: Credentialing Department, Fleming Island, FL 32003-8502 | 2014-10-24 |
| 1598995599 | Baptist Neurology Inc | Psychiatry & Neurology | 3563 Phillips Hwy Ste 106a, Jacksonville, FL 32207-5663 | 2009-07-24 |
| 1588285126 | Baptist Neurology Inc | Psychiatry & Neurology | 7807 Baymeadows Rd E Ste 401, Jacksonville, FL 32256-9668 | 2020-05-06 |
| 1639505035 | Baptist Neurology Inc | Psychiatry & Neurology | 14540 Old Saint Augustine Rd, Suite 2599, Jacksonville, FL 32258-7418 | 2013-09-18 |
| 1144531021 | Baptist Neurology Inc | Psychiatry & Neurology | 14546 Old Saint Augustine Rd, Suite 301, Jacksonville, FL 32258-5468 | 2010-06-25 |
| 1982836169 | Baptist Neurology Inc | Psychiatry & Neurology | 841 Prudential Dr, 10th Floor, Jacksonville, FL 32207-8329 | 2009-08-20 |
| 1578795241 | Baptist Neurology Inc | Psychiatry & Neurology | 2736 University Blvd W, Suite 3, Jacksonville, FL 32217-2179 | 2009-08-14 |
| Street Address |
1370 13TH AVE S SUITE 215 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245608496 | Southeastern Management, LLC | Durable Medical Equipment & Medical Supplies | 1370 13th Ave S, Suite 121, Jacksonville Beach, FL 32250-3230 | 2015-09-04 |
| 1891078234 | Baptist Primary Care Inc | Internal Medicine | 1370 13th Ave S, Suite 216a, Jacksonville Beach, FL 32250-3230 | 2011-09-22 |
| 1336476795 | Lyerly Baptist Inc | Psychiatry & Neurology | 1370 13th Ave S, Suite 215, Jacksonville Beach, FL 32250-3230 | 2009-11-05 |
| 1699955617 | Ammala Cantrell | Family Medicine | 1370 13th Ave S, Suite 216a, Jacksonville Beach, FL 32250-3230 | 2007-11-07 |
| 1891821146 | Robert Davies Md Pa | Urology | 1370 13th Ave S, Ste 121, Jacksonville Beach, FL 32250-3230 | 2007-02-23 |
| 1861528101 | Robert Davies | Urology | 1370 13th Ave S, Ste 121, Jacksonville Beach, FL 32250-3230 | 2007-02-23 |
| 1356458228 | Oceanside Pediatrics | Pediatrics | 1370 13th Ave S, Ste 216, Jacksonville Beach, FL 32250-3230 | 2006-08-24 |
| 1730296765 | Ann Vonthron | Pediatrics | 1370 13th Ave S, Ste 216, Jacksonville Beach, FL 32250-3230 | 2006-08-24 |
| 1891802815 | Elena Model-rybakova | Pediatrics | 1370 13th Ave S, Ste 216, Jacksonville Beach, FL 32250-3230 | 2006-08-24 |
| 1285741348 | Barbara O'reilly | Pediatrics | 1370 13th Ave S, Ste. 216, Jacksonville Beach, FL 32250-3230 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801076112 | Stephen T. Hickey, M.d., P.a. | Psychiatry & Neurology | 335 11th Ave N, Jacksonville Beach, FL 32250-7251 | 2007-11-05 |
| 1104863042 | Neurology Associates of North Florida, Inc | Psychiatry & Neurology | 1361 13th Ave S Ste 170a, Jacksonville Beach, FL 32250-3235 | 2006-05-31 |
| 1750378311 | Thomas M Snyder | Psychiatry & Neurology | 1370 13th Ave S Ste 215, Jacksonville Beach, FL 32250-3206 | 2005-09-29 |
| 1336476795 | Lyerly Baptist Inc | Psychiatry & Neurology | 1370 13th Ave S, Suite 215, Jacksonville Beach, FL 32250-3230 | 2009-11-05 |
| 1326282153 | Warren V Carrigan | Psychiatry & Neurology | 1370 13th Ave S Ste 215, Jacksonville Beach, FL 32250-3206 | 2009-04-23 |
| 1245227800 | Richard J Boehme | Psychiatry & Neurology | 1361 13th Ave S, Ste-170a, Jacksonville Beach, FL 32250-3233 | 2005-09-29 |
| 1043207657 | Christopher Potter | Psychiatry & Neurology | 1370 13th Ave S Ste 215, Jacksonville Beach, FL 32250-3206 | 2005-09-29 |
| 1255328860 | Karen K Thalinger | Psychiatry & Neurology | 1370 13th Ave S Ste 215, Jacksonville Beach, FL 32250-3206 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820087 | Lewis Leckey Hamilton | Psychiatry & Neurology | 471 Palm Ave, Boca Grande, FL 33921-1157 | 2020-08-04 |
| 1588282776 | Magic Medical Specialties Corp | Psychiatry & Neurology | 9421 S Orange Blossom Trl # 19, Orlando, FL 32837-8320 | 2020-07-14 |
| 1235757899 | Miami Headache Center, Pllc | Psychiatry & Neurology | 5415 Collins Ave Apt Phe, Miami Beach, FL 33140-2575 | 2020-07-10 |
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1104458462 | Neuro Synchrony LLC | Psychiatry & Neurology | 1745 E Hwy 50 Ste B1, Clermont, FL 34711-5190 | 2020-02-05 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
| 1326511007 | Parkinsons & Memory Center Pa | Psychiatry & Neurology | 919 N Osprey Ave # B, Sarasota, FL 34236-4143 | 2019-01-06 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
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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.