DAVID M FELLIN (NPI# 1134111388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134111388 |
| Entity Type | Individual |
| Full Name | DAVID M FELLIN |
| Credential | DO |
| Practice Address |
4348 Southpoint Blvd Suite 100 Jacksonville FL 32216-0986 |
| Mailing Address |
Po Box 1239 Troy MI 48099-1239 |
| Practice Telephone | 9042811915 |
| Practice Fax Number | 9042811119 |
| Mailing Telephone | 2488246600 |
| Mailing Fax Number | 8556186655 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2014-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OS7164 | FL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | OS7164 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 250288700 | 05 |
| Street Address |
4348 SOUTHPOINT BLVD SUITE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-0986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679549232 | Bhavesh S Patel | Internal Medicine | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0986 | 2006-02-24 |
| 1730536632 | Lourdine Jean-baptiste | Nurse Practitioner | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2016-05-20 |
| 1710341557 | Kelly Traylor | Nurse Practitioner | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2016-04-07 |
| 1619337532 | Ilze Hicks | General Practice | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0986 | 2016-03-04 |
| 1568833804 | Gloria Calderon | Nurse Practitioner | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2015-10-13 |
| 1386027332 | Stephanie Nicole Burkhalter | Nurse Practitioner | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2015-07-08 |
| 1750787982 | Iah of Florida, LLC | Family Medicine | 4348 Southpoint Blvd, Ste. 100, Jacksonville, FL 32216-0986 | 2014-11-17 |
| 1407197585 | Rmed LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4348 Southpoint Blvd, Suite#100, Jacksonville, FL 32216-0986 | 2013-03-14 |
| 1023360435 | Rebecca K Reza | Registered Nurse | 4348 Southpoint Blvd, Ste 100, Jacksonville, FL 32216-0986 | 2012-10-09 |
| 1528336575 | Vpa PC | Internal Medicine | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0986 | 2011-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004329 | Colin Craig Rowell | Internal Medicine | 4500 San Pablo Rd S Fl 32, Jacksonville, FL 32224-1865 | 2020-05-17 |
| 1457982977 | Ateeque Khan, Md P.a. | Internal Medicine | 3659 Eastbury Dr, Jacksonville, FL 32224-1659 | 2020-02-03 |
| 1013478221 | Naji Maaliki | Internal Medicine | 653-1 W 8th St Fl L184, Jacksonville, FL 32209-6511 | 2019-03-29 |
| 1770043259 | Fadi Kandah | Internal Medicine | 653-1 W 8th St # L15, Jacksonville, FL 32209-6511 | 2019-03-21 |
| 1346696002 | Alana Akers | Internal Medicine | 203 Nacogdoches St Ste 290, Jacksonville, TX 75766-2444 | 2016-05-11 |
| 1346602927 | Kevin Roy Green | Internal Medicine | 653-1 W 8th St # L18, Jacksonville, FL 32209-6511 | 2016-03-23 |
| 1093175770 | Alex Balmir | Internal Medicine | 655 W 8th St # Cc262, Jacksonville, FL 32209-6511 | 2016-02-24 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1316338957 | Deep Patel | Internal Medicine | 5238 Norwood Ave Ste 16, Jacksonville, FL 32208-5005 | 2015-02-17 |
| 1063801934 | Avecina Medical | Internal Medicine | 9580 Applecross Rd, 106, Jacksonville, FL 32222-5845 | 2015-01-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.