FIRST COAST CARDIOVASCULAR (NPI# 1154862803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154862803 |
| Entity Type | Organization |
| Organization Name | FIRST COAST CARDIOVASCULAR |
| Practice Address |
1201 Monument Rd Suite 201b Jacksonville FL 32225-7411 |
| Mailing Address |
Po Box 551308 Jacksonville FL 32255-1308 |
| Practice Telephone | 9044933333 |
| Practice Fax Number | 9044932222 |
| Mailing Telephone | 9044933333 |
| Mailing Fax Number | 9044932222 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |
| Authorized Official Name | DR. YAZAN KHATIB (PRESIDENT) |
| Authorized Official Telephone | 9044933333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467986737 | First Coast Cardiovascular | Internal Medicine | 725 S 6th St, Macclenny, FL 32063-9653 | 2017-04-13 |
| 1265973911 | First Coast Cardiovascular | Internal Medicine | 205 Zeagler Dr, Palatka, FL 32177-3888 | 2017-03-14 |
| 1790226447 | First Coast Cardiovascular | Internal Medicine | 5233 Ricker Rd, Suite 101, Jacksonville, FL 32210-1438 | 2017-03-14 |
| 1083155725 | First Coast Cardiovascular | Internal Medicine | 3890 Dunn Ave, Ste 203, Jacksonville, FL 32218-6428 | 2017-03-14 |
| 1811438559 | First Coast Cardiovascular | Internal Medicine | 9759 San Jose Blvd, Ste 2, Jacksonville, FL 32257-4401 | 2017-03-14 |
| 1659812394 | First Coast Cardiovascular | Internal Medicine | 665 State Road 207, Suite 102, St Augustine, FL 32084-5938 | 2017-03-14 |
| 1255872982 | First Coast Cardiovascular | Internal Medicine | 1681 Eagle Harbor Pkwy, Ste B, Fleming Island, FL 32003-4819 | 2017-03-14 |
| Street Address |
1201 MONUMENT RD SUITE 201B |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32225-7411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760459457 | Merrill Family Health Care Pa | Family Medicine | 1201 Monument Rd, Suite 201, Jacksonville, FL 32225 | 2006-03-02 |
| 1306292644 | Katie Louise Wendt | Physician Assistant | 1201 Monument Rd, Suite 201b, Jacksonville, FL 32225-7411 | 2016-05-05 |
| 1174863872 | Wells Surgical Services, LLC | Surgery | 1201 Monument Rd, Suite 201b, Jacksonville, FL 32225-7411 | 2013-02-18 |
| 1477798734 | Phuong Lu Do Pa | Internal Medicine | 1201 Monument Rd, Suite 201, Jacksonville, FL 32225 | 2008-12-15 |
| 1518119361 | Michael Drew Kight | Physician Assistant | 1201 Monument Rd, Suite 201b, Jacksonville, FL 32225-7411 | 2008-10-10 |
| 1124113279 | Maymon Kyaw Thint | Internal Medicine | 1201 Monument Rd, Suite 201a, Jacksonville, FL 32225-7411 | 2006-10-04 |
| 1508968611 | Lori Spilker | Physician Assistant | 1201 Monument Rd, Suite 201, Jacksonville, FL 32225-7411 | 2006-09-01 |
| 1154437572 | Katherine Louise Wollitz | Family Medicine | 1201 Monument Rd, Ste 201, Jacksonville, FL 32225 | 2006-08-21 |
| 1043279680 | Internal Medicine of Jacksonville | Internal Medicine | 1201 Monument Rd, Ste 201, Jacksonville, FL 32225-7411 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1467921569 | Heart To Heart LLC | Assisted Living Facility | 9378 Arlignton Expressway, Ste 218, Jacksonville, FL 32225 | 2018-11-19 |
| 1285122036 | National Vision, Inc. | Technician/Technologist | 11770 Atlantic Boulevard, Suite 300, Jacksonville, FL 32225 | 2018-04-27 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1831629690 | Family First Vision Care, Pllc | Optometrist | 9398 Arlington Expresway, Suite 1, Jacksonville, FL 32225 | 2017-06-14 |
| 1437689205 | West Point Optical Group | Optometrist | 9398-1 Arlington Expresway, Jacksonville, FL 32225 | 2017-06-14 |
| 1477087815 | Naila Ortega | Dentist | 984 Chapeltown Circle N, Jacksonville, FL 32225 | 2017-04-12 |
| 1487186342 | Sidnetta Rosemond | Durable Medical Equipment & Medical Supplies | 9501 Arlington Expy Ste160, Jacksonville, FL 32225 | 2017-03-30 |
| 1669925913 | Frances Mcmiller | Counselor | 9550 Regency Square Blvd Ste 706, Jacksonville, FL 32225 | 2016-08-03 |
| 1891143103 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 1211 St. Johns Bluff Rd North, Jacksonville, FL 32225 | 2016-05-26 |
| Find all providers in zip 32225 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1598182552 | Maedeh Ganji | Internal Medicine | 653 W 8th St # L-18, Jacksonville, FL 32209-6511 | 2014-03-27 |
| 1649696691 | Carolinaeast Physicians | Internal Medicine | 4725 Western Blvd, Jacksonville, NC 28546-6852 | 2014-03-14 |
| 1093151888 | Alejandro Pena Jr. | Internal Medicine | 14546 Old St Augustine Rd Suite 201, Jacksonville, FL 32258-2612 | 2013-05-20 |
| 1669696407 | Ruple Jayantilal Galani | Internal Medicine | 14546 Old Saint Augustine Rd Ste 103, Credentialing Department, Jacksonville, FL 32258-5469 | 2007-04-12 |
| 1154408656 | Heart Clinic of Jacksonville, LLC | Internal Medicine | 9551 Baymeadows Rd Ste 6, Jacksonville, FL 32256-7938 | 2006-11-01 |
| 1487757092 | Cardiovascular Associates of Jacksonville Pa | Internal Medicine | 3599 University Blvd South, Suite 913, Jacksonville, FL 32216-4269 | 2006-09-07 |
| 1316958838 | Valerie Mcnee | Internal Medicine | 1 Red Fox Ln, Jacksonville, AR 72076-2513 | 2006-08-10 |
| 1306895438 | Diagnostic Cardiology Pa | Internal Medicine | 6867 South Point Drive N, Suite 111, Jacksonville, FL 32216-8005 | 2006-05-08 |
| 1790743854 | Baptist Cardiology, Inc. | Internal Medicine | 1905 Corporate Square Blvd, Jacksonville, FL 32216-1940 | 2006-05-01 |
| 1386601896 | James C Campbell | Internal Medicine | 3225 University Blvd S Ste 104, Credentialing Department, Jacksonville, FL 32216-2757 | 2006-04-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32225 |
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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.