DR. CHARLES JOSEPH HADDAD (NPI# 1366402935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366402935 |
| Entity Type | Individual |
| Full Name | DR. CHARLES JOSEPH HADDAD |
| Credential | M.D. |
| Practice Address |
2377 Dunn Ave Ufjp Dunn Ave Family Practice Jacksonville FL 32218-6983 |
| Mailing Address |
Po Box 44008 Ufjp Provider Enrollment Jacksonville FL 32231-4008 |
| Practice Telephone | 9043660700 |
| Practice Fax Number | 9046330701 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2009-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME54069 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000429833B | 05 | |
| FL | 0619094-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609885615 | Charles George Haddad | Internal Medicine | 300 Gateway Dr, Slidell, LA 70461-5540 | 2006-08-07 |
| 1750329538 | Charles George Haddad | Obstetrics & Gynecology | 1033 Us Highway 46, Suite 102, Clifton, NJ 07013-2473 | 2006-06-03 |
| 1316937568 | Charles P Haddad | Optometrist | 105 E Market St, Somerville, TN 38068-1407 | 2005-10-27 |
| 1700216512 | Charles Haddad | Dentist | 188 W Montauk Hwy, Hampton Bays, NY 11946-2363 | 2013-11-14 |
| 1316955495 | Charles G Haddad Jr. | Orthopaedic Surgery | 3939 Houma Blvd, Suite 21, Metairie, LA 70006-2921 | 2006-08-04 |
| 1770563736 | Charles J Haddad Jr. | Dentist | 510 Superior Ave E, Cleveland, OH 44114 | 2006-01-18 |
| 1346220456 | Charles Haddad | Surgery | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2006-01-17 |
| Street Address |
2377 DUNN AVE UFJP DUNN AVE FAMILY PRACTICE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-6983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821065194 | Amra Hadzic | Family Medicine | 2377 Dunn Ave, Ufjp Dunn Avenue Family Practice, Jacksonville, FL 32218-6983 | 2006-03-04 |
| 1336650167 | Gina Patel | Physician Assistant | 2377 Dunn Ave, Jacksonville, FL 32218-6983 | 2017-10-19 |
| 1376091165 | Michelle Nichole Waters | Nurse Practitioner | 2377 Dunn Ave, Jacksonville, FL 32218-6983 | 2016-09-21 |
| 1982055364 | Wilma Ramos Culi | Nurse Practitioner | 2377 Dunn Ave, Jacksonville, FL 32218-6983 | 2016-06-27 |
| 1073926838 | Nimra Khan | Family Medicine | 2377 Dunn Ave, Jacksonville, FL 32218-6983 | 2014-06-09 |
| 1154696649 | Allison Marie Lowe | Nurse Practitioner | 2377 Dunn Ave, Ufjax - Dept. of Chfm/dunn Avenue Family Medicine, Jacksonville, FL 32218-6983 | 2012-03-15 |
| 1902958184 | Genevieve Johnson Sears | Physician Assistant | 2377 Dunn Ave, Ufjax - Dunn Avenue Family Practice, Jacksonville, FL 32218-6983 | 2007-01-17 |
| 1518054758 | Dunn Avenue Physical Therapy Inc | Physical Therapist | 2377 Dunn Ave, Suite 3, Jacksonville, FL 32218-6983 | 2006-10-09 |
| 1790754877 | Kevin William Peterson | Family Medicine | 2377 Dunn Ave, Ufjp Dunn Avenue Family Practice Center, Jacksonville, FL 32218-6983 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| 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 | 32218 |
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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.