MICHAEL C TRACY (NPI# 1124054945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124054945 |
| Entity Type | Individual |
| Full Name | MICHAEL C TRACY |
| Credential | MD |
| Practice Address |
1800 Barrs St Jacksonville FL 32204-4704 |
| Mailing Address |
Po Box 863026 Orlando FL 32886-3026 |
| Practice Telephone | 9043087300 |
| Practice Fax Number | 9043460113 |
| Mailing Telephone | 9043465426 |
| Mailing Fax Number | 9043460113 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME0073346 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 41851 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033312285 | Michael W Tracy | Social Worker | 411 N Brigham Ave, American Fork, UT 84003-1835 | 2007-06-06 |
| 1124229380 | Michael Kennedy Tracy | Ophthalmology | 6183 Paseo Del Norte Ste 290, Carlsbad, CA 92011-1151 | 2007-05-29 |
| 1063719631 | Michael Lawrence Tracy | Psychologist | 201 N Rose Ave, Indiana University School of Education 4046, Bloomington, IN 47405-1005 | 2011-02-17 |
| 1295995751 | Michael C Tracy | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2008-06-09 |
| 1477733061 | Michael Richard Tracy | Orthopaedic Surgery | 334 Main St, Dickson City, PA 18519-1668 | 2007-11-12 |
| 1770778805 | Michael B Tracy | Physical Medicine & Rehabilitation | 380 Empire Rd, Suite 200, Lafayette, CO 80026-2677 | 2007-09-11 |
| 1780749135 | Michael Spencer Tracy | Nurse Anesthetist, Certified Registered | 975 Sereno Dr, Vallejo, CA 94589-2485 | 2006-12-26 |
| 1689662595 | Michael D Tracy | Internal Medicine | 450 Mountain View St, Powell, WY 82435-2212 | 2005-10-13 |
| Street Address |
1800 BARRS ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528052727 | Sherri H Chafin | Radiology | 1800 Barrs St, Jacksonville, FL 32204-4704 | 2005-09-02 |
| 1992357693 | Leah Chesser | Radiologic Technologist | 1800 Barrs St, Jacksonville, FL 32204-4704 | 2019-07-12 |
| 1215164348 | Nathan Thomas Roth | Radiology | 1800 Barrs St, Radiology Dept, Jacksonville, FL 32204-4704 | 2009-06-16 |
| 1750516720 | Douglas Sherard | Radiology | 1800 Barrs St, Jacksonville, FL 32204-4704 | 2009-05-20 |
| 1114106911 | Orange Park Hospitalists LLC | Internal Medicine | 1800 Barrs St, Jacksonville, FL 32204-4704 | 2007-10-29 |
| 1710179676 | Paul Byra | Radiology | 1800 Barrs St, Jacksonville, FL 32204-4704 | 2007-08-15 |
| 1558552182 | Asad Ayub Md LLC | Internal Medicine | 1800 Barrs St, Jacksonville, FL 32204-4704 | 2007-08-08 |
| 1023212214 | Zachary Edward Brown | Radiology | 1800 Barrs St, Radiology Dept, Jacksonville, FL 32204-4704 | 2007-06-12 |
| 1417158452 | Ario Rezaei | Radiology | 1800 Barrs St, Jacksonville, FL 32204-4704 | 2007-05-29 |
| 1578686606 | Cynthia R Aponte | Nurse Practitioner | 1800 Barrs St, Jacksonville, FL 32204-4704 | 2007-04-06 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427690353 | Emergency Physicians Inc | Emergency Medicine | 9868 Family Place, Jacksonville, FL 32222 | 2019-10-11 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1922525229 | Dwic of Tampa Bay, Inc | Emergency Medicine | 11985 Atlantic Boulevard, Jacksonville, FL 32225-2919 | 2017-08-28 |
| 1063945541 | Hassan Mohammad Aboudan | Emergency Medicine | 8455 Stables Rd, Jacksonville, FL 32256-7265 | 2017-04-11 |
| 1639626476 | Emergency Physicians Inc | Emergency Medicine | 11250 Baptist Health Drive, Suite 713, Jacksonville, FL 32218 | 2016-09-09 |
| 1497107957 | Frank Rodriguez | Emergency Medicine | 7615 Hunters Grove Rd, Jacksonville, FL 32256-7210 | 2016-07-08 |
| 1649631391 | Emergency Physicians Inc | Emergency Medicine | 4085 Town Center Pkwy, Jacksonville, FL 32246-8580 | 2016-03-09 |
| 1619387099 | John Michael Kiel | Emergency Medicine | Department of Emergency Medicine, 125 Floor Clinical Ce, 655 West 8th Street, C506, Jacksonville, FL 32209-3220 | 2014-05-06 |
| 1225455306 | James Esser Barr | Emergency Medicine | 653 W 8th St # L15, Jacksonville, FL 32209-6511 | 2014-03-26 |
| 1992122170 | Nadia Bakor | Emergency Medicine | 6477 103rd St, Jacksonville, FL 32210-7129 | 2014-03-25 |
| 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.