DR. JOSEPH JOHN TEPAS III (NPI# 1124093653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124093653 |
Entity Type | Individual |
Full Name | DR. JOSEPH JOHN TEPAS III |
Credential | M.D. |
Practice Address |
653 W 8th St Ufjp Pediatric Surgery Dept Jacksonville FL 32209-6511 |
Mailing Address |
Po Box 44008 Ufjp Provider Enrollment Jacksonville FL 32231-4008 |
Practice Telephone | 9042443915 |
Practice Fax Number | 9042443870 |
Enumeration Date | 2006-02-20 |
Last Update Date | 2011-08-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | ME43165 | FL | Allopathic & Osteopathic Physicians |
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
ME43165 | FL | Allopathic & Osteopathic Physicians |
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
ME43165 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000264008B | 05 | |
FL | RAILROAD MEDICARE | 20016062 | 01 |
FL | 0674079-00 | 05 |
Street Address |
653 W 8TH ST UFJP PEDIATRIC SURGERY DEPT |
City | JACKSONVILLE |
State | FL |
Zip Code | 32209-6511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952387912 | Gunjan Y Gandhi | Internal Medicine | 653 W 8th St, Jacksonville, FL 32209-6511 | 2005-12-21 |
1285258681 | Muhammad Muzammil Siddiqui | Student in an Organized Health Care Education/Training Program | 653 W 8th St, Jacksonville, FL 32209-6511 | 2020-06-01 |
1528688256 | Jean-christophe N Rwigema | Student in an Organized Health Care Education/Training Program | 653 W 8th St, Jacksonville, FL 32209-6511 | 2020-04-22 |
1184253767 | Olivia Mae Hopper | Student in an Organized Health Care Education/Training Program | 653 W 8th St, Jacksonville, FL 32209-6511 | 2020-04-05 |
1649808585 | Marcos Valentin | Student in an Organized Health Care Education/Training Program | 653 W 8th St, Jacksonville, FL 32209-6511 | 2020-03-27 |
1568099851 | Zack Ramilevich | Student in an Organized Health Care Education/Training Program | 653 W 8th St, Jacksonville, FL 32209-6511 | 2020-03-25 |
1326609058 | Clinton Wilkinson | Surgery | 653 W 8th St, Jacksonville, FL 32209-6511 | 2019-06-24 |
1710448659 | Michael Rocco Aiello | Anesthesiology | 653 W 8th St, Jacksonville, FL 32209-6511 | 2019-03-25 |
1093275190 | Selina Garcia | Surgery | 653 W 8th St, Jacksonville, FL 32209-6511 | 2019-03-23 |
1275093759 | Abby Caroline Sheffield | Student in an Organized Health Care Education/Training Program | 653 W 8th St, Jacksonville, FL 32209-6511 | 2019-03-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
Find all providers in zip 32209 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538712013 | Vanessa V Oliveira Valente | Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-07-23 |
1104328160 | Brian Huei | Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-03-06 |
1275048696 | Benjamin Michael Fletcher | Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2017-12-07 |
1942391958 | Howard Warner Webb | Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-09-27 |
1326143512 | Daniel K Robie | Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-09-13 |
1720193709 | Maryanne L. Dokler Helffrich | Surgery | 807 Childrens Way, Jacksonville, FL 32207 | 2006-08-20 |
1669446894 | Nicholas D. Poulos | Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2006-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922649367 | A Helping Hands Physicians Group LLC | Surgery | 307 Willowbay Ridge St, Sanford, FL 32771-6702 | 2019-10-07 |
1700051208 | Chad Michael Thorson | Surgery | 1120 Nw 14th St Ste 450j, Miami, FL 33136-2107 | 2008-04-25 |
1821191289 | Oliver B Lao | Surgery | 1150 N 35th Ave Ste 555, Hollywood, FL 33021-5431 | 2006-09-07 |
1962512061 | South Florida Pediatric Surgeons Pa | Surgery | 300 N.w. 70th Avenue, Suite 202, Ft. Lauderdale, FL 33317-2384 | 2006-08-30 |
1962517219 | Henry L Chang | Surgery | 601 5th St S Ste 511, St Petersburg, FL 33701-4804 | 2006-08-19 |
1548292915 | John Patrick Coughlin | Surgery | 444 Lucerne Ave, Tampa, FL 33606-3839 | 2006-07-07 |
1235176439 | Charles J Smithers | Surgery | 601 5th St S Ste 306, St Petersburg, FL 33701-4804 | 2006-05-31 |
1669426920 | Donald Plumley | Surgery | 1720 S Orange Ave Ste 500, Orlando, FL 32806-2967 | 2006-05-20 |
1568415115 | Children's Surgical Associates | Surgery | 1814 Lucerne Ter, Suite A, Orlando, FL 32806-2949 | 2006-05-17 |
1922081363 | Carmen T Ramos Irizarry | Surgery | 2600 Immokalee Rd, Naples, FL 34110-1424 | 2005-11-21 |
Find all providers with the same taxonomy |
City | JACKSONVILLE |
Zip Code | 32209 |
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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.