JASON SCOTT STARR (NPI# 1205090107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205090107 |
| Entity Type | Individual |
| Full Name | JASON SCOTT STARR |
| Credential | DO |
| Practice Address |
4500 San Pablo Rd S Jacksonville FL 32224 |
| Mailing Address |
4500 San Pablo Rd S Jacksonville FL 32224-1865 |
| Practice Telephone | 9049532000 |
| Mailing Telephone | 9049532000 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
OS10884 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003859900 | 05 | |
| FL | BCBS | 14E7M | 01 |
| FL | AETNA | 9794773 | 01 |
| FL | AVMED | 374162 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Sw Archer, Box 100278, Gainesville, FL 326100278 | 3522737832 | 3522737849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174066195 | Jason Starr | Behavior Technician | 452 N Eola Rd Ste A, Aurora, IL 60502-9110 | 2016-11-22 |
| 1154731859 | Jason Starr | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2014-05-02 |
| 1760514707 | Jason Michael Starr | Acupuncturist | 6221 Wilshire Blvd, Los Angeles, CA 90048-5201 | 2007-03-12 |
| Street Address |
4500 SAN PABLO RD S |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799136 | Richard Clarke Agnew | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-06-01 |
| 1427657964 | Brianna Iannarelli | Nurse Anesthetist, Certified Registered | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-24 |
| 1538768981 | Heather Anne Dahlen | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-17 |
| 1578161717 | Szilvia Fortner | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-10 |
| 1265049464 | Carolyn Gonzalez | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-09-30 |
| 1467065748 | Ifeloluwa A Olutola | Family Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-26 |
| 1366055568 | Krina Dipak Vyas | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-26 |
| 1356954911 | Haleigh Diane Shelton | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-24 |
| 1215548805 | Victoria Zeilinger Reams | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-16 |
| 1558971382 | Rachel Marie Hannon | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760818959 | Talha Badar | Internal Medicine | 4500 San Pablo Rd S # X, Jacksonville, FL 32224-1865 | 2013-09-19 |
| 1952621237 | Harvey B Sher | Internal Medicine | 2742 Beauclerc Rd, Jacksonville, FL 32257-5602 | 2010-06-09 |
| 1548426703 | Ewa M Wysokinska | Internal Medicine | 4500 San Pablo Rd S Fl 3222, Jacksonville, FL 32224-1865 | 2008-08-06 |
| 1750598363 | Sridhar Srinivasan | Internal Medicine | 14546 Old Saint Augustine Rd Ste 100, Jacksonville, FL 32258-5468 | 2007-05-16 |
| 1891878146 | Miten R Patel | Internal Medicine | 7015 Ac Skinner Parkway, Building 100, Jacksonville, FLORIDA 32256-6932 | 2006-10-23 |
| 1831122035 | Shonda Michelle Asaad | Internal Medicine | 239 Station St, Jacksonville, NC 28546-6304 | 2006-07-09 |
| 1770535700 | Sahana R Kalmadi | Internal Medicine | 14546 Old Saint Augustine Rd Ste 317, Jacksonville, FL 32258-5472 | 2006-05-17 |
| 1902889959 | Maria J Valente | Internal Medicine | 7015 A C Skinner Pkwy, Bldg 100, Jacksonville, FL 32256-6932 | 2005-11-23 |
| 1124017850 | Lawrence Arthur Solberg Jr. | Internal Medicine | 3827 Coopers Lake Rd, Jacksonville, FL 32224-8436 | 2005-10-15 |
| 1922095884 | Carlos M Castillo | Internal Medicine | 7751 Baymeadows Rd E Ste 205, Jacksonville, FL 32256 | 2005-10-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
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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.