BAPTIST ENT SPECIALISTS INC (NPI# 1114477940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114477940 |
| Entity Type | Organization |
| Organization Name | BAPTIST ENT SPECIALISTS INC |
| Practice Address |
1348 S 18th St Suite 340 Fernandina Beach FL 32034-4785 |
| Mailing Address |
Po Box 41516 Jacksonville FL 32203-1516 |
| Practice Telephone | 9047755957 |
| Practice Fax Number | 9048442149 |
| Mailing Telephone | 9042025111 |
| Mailing Fax Number | 9043915836 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | CATHERINE GRAHAM (ADMINISTRATOR) |
| Authorized Official Telephone | 9042025370 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004630400 | 05 | |
| FL | RR MEDICARE | DS0498 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1346762234 | Baptist Ent Specialists Inc | Allergy & Immunology | 14546 Old Saint Augustine Rd Ste 301, Jacksonville, FL 32258-5472 | 2017-07-12 |
| 1215459441 | Baptist Ent Specialists Inc | Allergy & Immunology | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250-3206 | 2017-07-10 |
| 1144767997 | Baptist Ent Specialists Inc | Otolaryngology | 7740 Point Meadows Dr, Suite 7, Jacksonville, FL 32256-9179 | 2017-01-31 |
| 1114306024 | Baptist Ent Specialists Inc | Otolaryngology | 836 Prudential Dr, Suite 1601, Jacksonville, FL 32207-8334 | 2015-05-26 |
| 1700265998 | Baptist Ent Specialists Inc | Otolaryngology | 1747 Baptist Clay Rd, Suite 360, Fleming Island, FL 32003-8502 | 2015-05-21 |
| 1598143166 | Baptist Ent Specialists Inc | Otolaryngology | 751 Oak St, Suite 610, Jacksonville, FL 32204-3359 | 2015-05-14 |
| 1467741264 | Baptist Ent Specialists Inc | Otolaryngology | 836 Prudential Dr, Suite 1802, Jacksonville, FL 32207-8334 | 2011-04-01 |
| 1285923086 | Baptist Ent Specialists Inc | Otolaryngology | 836 Prudential Dr, Suite 807, Jacksonville, FL 32207-8334 | 2011-04-01 |
| 1083913453 | Baptist Ent Specialists Inc | Otolaryngology | 14546 Old Saint Augustine Rd, Suite 401, Jacksonville, FL 32258-5468 | 2011-03-24 |
| Street Address |
1348 S 18TH ST SUITE 340 |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-4785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043299860 | Jeffrey Mark Lezynski | Audiologist-Hearing Aid Fitter | 1348 S 18th St, Suite 340, Fernandina Beach, FL 32034-4785 | 2006-01-11 |
| 1609319607 | Jacksonville Orthopaedic Institute Inc | Orthopaedic Surgery | 1348 S 18th St, Suite 320b, Fernandina Beach, FL 32034-4785 | 2016-11-22 |
| 1942660212 | Jacksonville Orthopaedic Institute Inc | Occupational Therapist | 1348 S 18th St, Suite 320a, Fernandina Beach, FL 32034-4785 | 2016-03-01 |
| 1851512990 | Zeeshan Sarwar Aziz | Otolaryngology | 1348 S 18th St, Suite 340, Fernandina Beach, FL 32034-4785 | 2007-05-02 |
| 1417048331 | Kenneth A Son | Urology | 1348 S 18th St, Fernandina Beach, FL 32034-4785 | 2006-09-27 |
| 1275636805 | Farid Ullah | Internal Medicine | 1348 S 18th St, Bldg B, Suite 200, Fernandina Beach, FL 32034-4785 | 2006-09-07 |
| 1730107103 | Steven S Harvey | Internal Medicine | 1348 S 18th St, Suite 100, Fernandina Beach, FL 32034-4755 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870977 | Shanmugasundaram, Venkatachalam | Otolaryngology | 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109 | 2020-04-24 |
| 1851910517 | Daniel Oswaldo Manrique | Otolaryngology | 325 Saddle Ridge Dr, Davenport, FL 33896-8176 | 2020-04-13 |
| 1932735768 | Martin Alvin Shugar | Otolaryngology | 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 | 2020-03-12 |
| 1396219242 | North Broward Hospital Distric T | Otolaryngology | 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 | 2019-01-14 |
| 1356811194 | Donald Lee Roberts | Otolaryngology | 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 | 2018-12-04 |
| 1275022238 | Mary Teresa Garrish | Otolaryngology | 405 Sims Way, Merritt Island, FL 32952-5233 | 2018-05-05 |
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
| 1427414358 | Rufus Madison Holloway Jr. | Otolaryngology | 1616 Lake Shore Drive, Orlando, FL 32803 | 2016-01-07 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| Find all providers with the same taxonomy | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
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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.