DR. JORGE BANO CABALLERO (NPI# 1356383384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356383384 |
| Entity Type | Individual |
| Full Name | DR. JORGE BANO CABALLERO |
| Credential | D.O. |
| Practice Address |
14011 Beach Blvd Suite 120 Jacksonville FL 32250-1507 |
| Mailing Address |
7855 Argyle Forest Blvd Ste. 101 Jacksonville FL 32244-5597 |
| Practice Telephone | 9042236400 |
| Practice Fax Number | 9042236420 |
| Mailing Telephone | 9042826331 |
| Mailing Fax Number | 9042824117 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2017-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS8336 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 275984500 | 05 | |
| FL | MEDICARE | U7968W | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134270663 | Jorge L. Caballero | Physician Assistant | 1460 Edgar St, Dupont, WA 98327-8783 | 2007-01-12 |
| 1164749586 | Jorge Alejandro Caballero | Anesthesiology | 300 Pasteur Drive, Room H3580, Stanford, CA 94035-5640 | 2010-04-25 |
| 1275505174 | Jorge Reyes Caballero | Anesthesiology | 400 E 10th St, Anniston, AL 36207-4716 | 2006-02-03 |
| Street Address |
14011 BEACH BLVD SUITE 120 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32250-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146356 | Barbara Ann Trunzo | Nurse Practitioner | 14011 Beach Blvd, Suite 120, Jacksonville, FL 32250-1507 | 2005-07-05 |
| 1144568262 | Physicians Group Services | Family Medicine | 14011 Beach Blvd, Suite 120, Jacksonville, FL 32250-1507 | 2013-01-24 |
| 1114251543 | Baptist Primary Care Inc | Family Medicine | 14011 Beach Blvd, Suite 230, Jacksonville, FL 32250-1507 | 2009-10-02 |
| 1437483278 | Tina M Voisin | Nurse Practitioner | 14011 Beach Blvd, Ste 120, Jacksonville, FL 32250-1507 | 2009-09-27 |
| 1467616169 | Physicians Group Services Pa | Nurse Practitioner | 14011 Beach Blvd, Suite 120, Jacksonville, FL 32250-1507 | 2008-07-11 |
| 1265655617 | Affiliated Health Psychologists | Psychologist | 14011 Beach Blvd, Suite 100, Jacksonville, FL 32250-1507 | 2007-04-11 |
| 1992875660 | John Goetze Physical Therapy, Inc | Physical Therapist | 14011 Beach Blvd, Suite 100, Jacksonville, FL 32250 | 2006-11-09 |
| 1023128600 | Brittney Schmidt Day | Nurse Practitioner | 14011 Beach Blvd, Suite 120, Jacksonville, FL 32250-1507 | 2006-08-30 |
| 1619918042 | Suzanne Mitchell Brulte | Internal Medicine | 14011 Beach Blvd, Unit 120, Jacksonville, FL 32250-1694 | 2006-06-09 |
| 1730159831 | Eileen Krimsky | Psychologist | 14011 Beach Blvd, Suite 100, Jacksonville, FL 32250-1507 | 2006-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676186 | Sarah Colleen Tapscott | Family Medicine | 1908 Mill Creek Rd, Jacksonville, FL 32211-5052 | 2020-07-20 |
| 1790303170 | Samantha L Scott | Family Medicine | 516 Pierce Ln, Jacksonville, TX 75766-4546 | 2020-07-11 |
| 1689298689 | Meridian Spine and Joint, Inc | Family Medicine | 9770 Old Baymeadows Rd Ste 139, Jacksonville, FL 32256-7986 | 2020-06-04 |
| 1154942563 | Families First Medical Group | Family Medicine | 12086 Fort Caroline Rd Ste 103, Jacksonville, FL 32225-2688 | 2020-04-27 |
| 1598396392 | Pareto Population Health Management Practice Pllc | Family Medicine | 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 | 2020-01-30 |
| 1942862206 | Cindy S Wright Do Pllc | Family Medicine | 12627 San Jose Blvd Ste 902, Jacksonville, FL 32223-8645 | 2019-07-07 |
| 1942868377 | Pain Spine & Wellness LLC | Family Medicine | 9770 Old Baymeadows Rd Ste 141, Jacksonville, FL 32256-7986 | 2019-05-31 |
| 1669035705 | Kathy Jo Daniels | Family Medicine | 10457 Wellington Springs Way, Jacksonville, FL 32221-1175 | 2019-04-15 |
| 1821579103 | Tiffany N Major | Family Medicine | 5194 Johnson Creek Dr, Jacksonville, FL 32218-9308 | 2018-08-24 |
| 1568987360 | Main Street Health LLC | Family Medicine | 2 Shircliff Way Ste 620, Jacksonville, FL 32204-4762 | 2017-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32250 |
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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.