PEDIATRIX,INC (NPI# 1194867390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194867390 |
| Entity Type | Organization |
| Organization Name | PEDIATRIX,INC |
| Practice Address |
4205 Belfort Rd 4090 Jacksonville FL 32216-1471 |
| Mailing Address |
5229 River Forest Dr Jacksonville FL 32211-4553 |
| Practice Telephone | 9042967910 |
| Practice Fax Number | 9042969081 |
| Mailing Telephone | 9047453614 |
| Mailing Fax Number | 9043082930 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RONALD PETER CARZOLI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9043937910 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
1053912 | FL | Hospitals |
| Street Address |
4205 BELFORT RD 4090 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992707327 | Robert A Luke | Internal Medicine | 4205 Belfort Rd, Suite 2069, Jacksonville, FL 32216-1471 | 2005-08-15 |
| 1922498765 | Janet Speer | Nurse Practitioner | 4205 Belfort Rd, Suite 1100 Joe Adams Bldg., Jacksonville, FL 32216-1471 | 2015-02-02 |
| 1710316427 | Hester E. Hartman | Physician Assistant | 4205 Belfort Rd, Suite 1100, Jacksonville, FL 32216-5876 | 2013-11-03 |
| 1366783441 | Seton Pharmacy Inc. | Pharmacy | 4205 Belfort Rd, Suite 1003, Jacksonville, FL 32216-1471 | 2013-03-14 |
| 1033466750 | Melanie Lehmann | Nurse Practitioner | 4205 Belfort Rd, Suite 2069, Jacksonville, FL 32216-1471 | 2012-08-13 |
| 1578831954 | Kimberly Anne Greenawalt | Nurse Practitioner | 4205 Belfort Rd, Suite 2069, Jacksonville, FL 32216-1471 | 2011-12-13 |
| 1780979880 | Arlene G. Schlumbohm, Do, Pa | Family Medicine | 4205 Belfort Rd, Ste. 3004, Jacksonville, FL 32216-1471 | 2011-06-16 |
| 1568697084 | Sherri Morgan Kimes | Nurse Practitioner | 4205 Belfort Rd, Suite 1100, Jacksonville, FL 32216-1471 | 2009-05-28 |
| 1255503843 | Brian Franklin Petrine | Physician Assistant | 4205 Belfort Rd, Suite 1100, Jacksonville, FL 32216 | 2008-03-24 |
| 1891901674 | Mary Katherine Yoder | Family Medicine | 4205 Belfort Rd, Suite 3075, Jacksonville, FL 32216-1475 | 2007-05-16 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720288921 | Joanne Lynn Brousseau | General Acute Care Hospital | 221 6th Ave S Apt E, Jacksonville, FL 32250-6664 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952850828 | Tanya Kischa Bethel-hall | General Acute Care Hospital | 3094 Nw 72nd Ave, Margate, FL 33063-7878 | 2016-10-03 |
| 1033663752 | Uf Health | General Acute Care Hospital | 3529 Nw 42nd Ter, Gainesville, FL 32606-8131 | 2016-08-10 |
| 1902103583 | Lee Memorial | General Acute Care Hospital | 13681 Doctors Way Ste 16043, Fort Myers, FL 33912-4300 | 2011-02-17 |
| 1477871069 | Jackson Memorial Hospital | General Acute Care Hospital | 4304 E Whitewater Ave, Weston, FL 33332-2409 | 2010-05-07 |
| 1194953828 | Mount Sinai Medical Center | General Acute Care Hospital | 14700 Ne 9th Ave, Miami, FL 33161-2316 | 2009-07-01 |
| 1518157551 | Malcom Randall Va Medical Center | General Acute Care Hospital | 1601 S.w Archer Road, Gainesville, FL 32608-1135 | 2007-07-26 |
| 1306046131 | Jackson Hospital | General Acute Care Hospital | 10730 Sw 30th Pl, Davie, FL 33328-1536 | 2007-07-19 |
| 1649480146 | St Mary Surgical Inc | General Acute Care Hospital | 5343 59th Circle West, Kenneth City, FL 33709 | 2007-05-23 |
| 1477618387 | Department of Va, Miami Va Health Care | General Acute Care Hospital | 12530 Ne 1st, Miami, FL 33161 | 2006-12-22 |
| 1477641587 | Jackson Memorial | General Acute Care Hospital | 1401 Bay Rd, 510, Miami Beach, FL 33139-3715 | 2006-10-11 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on PEDIATRIX,INC.
| 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.