MCLANE MEDICAL, INC. (NPI# 1417262288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417262288 |
| Entity Type | Organization |
| Organization Name | MCLANE MEDICAL, INC. |
| Other Organization Name | POSH MEDICAL |
| Practice Address |
13241 Bartram Park Blvd Ste 1017 Jacksonville FL 32258-5212 |
| Practice Telephone | 9042602001 |
| Practice Fax Number | 9042602010 |
| Mailing Telephone | 9042602001 |
| Mailing Fax Number | 9042602010 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Authorized Official Name | DR. SOFIA K KIRK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9042602001 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME89157 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Posh Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376753632 | Mclane Medical, Inc. | Clinic/Center | 140 Gateway Cir Unit 6, Jacksonville, FL 32259-4085 | 2007-05-23 |
| Street Address |
13241 BARTRAM PARK BLVD STE 1017 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306833587 | Mark Andrew Matey | Podiatrist | 13241 Bartram Park Blvd, Suite 1809, Jacksonville, FL 32258-5227 | 2005-10-03 |
| 1942808977 | Etleva Iliazi | Nurse Practitioner | 13241 Bartram Park Blvd, Jacksonville, FL 32258-5212 | 2020-10-12 |
| 1952830093 | Lauren Kessenich | Nurse Practitioner | 13241 Bartram Park Blvd, Jacksonville, FL 32258-5212 | 2017-06-11 |
| 1497295505 | Blayne O Yerby | Physician Assistant | 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 | 2017-03-08 |
| 1366981904 | Jennifer Mooney | Nurse Practitioner | 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 | 2017-02-15 |
| 1902344427 | Raquel S Watkins Md Pllc | Allergy & Immunology | 13241 Bartram Park Blvd, Suite 2601, Jacksonville, FL 32258-5212 | 2017-02-03 |
| 1457805756 | Pediatric Innovation Center, LLC | Pediatrics | 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 | 2016-08-04 |
| 1386097442 | Khoi M Le | Dentist | 13241 Bartram Park Blvd, Ste. 1705, Jacksonville, FL 32258-5212 | 2016-07-13 |
| 1629453246 | Julian Bungubung | Nurse Practitioner | 13241 Bartram Park Blvd, Suite 413, Jacksonville, FL 32258-5212 | 2015-07-24 |
| 1023496189 | Railing Chiropractic & Acupuncture | Chiropractor | 13241 Bartram Park Blvd, 509, Jacksonville, FL 32258-5212 | 2015-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699831644 | Loren Zalman Clayman | Plastic Surgery | 1801 Barrs Street Suite 200, Jacksonville, FL 32204 | 2006-12-27 |
| 1134217839 | Thomas Joseph Rojy Jr. | Plastic Surgery | 43 Office Park Dr, Jacksonville, NC 28546-3220 | 2006-10-10 |
| 1881678753 | Erez Gabriel Sternberg | Plastic Surgery | 7711 Baymeadows Rd E, Suite #6, Jacksonville, FL 32256-9675 | 2005-12-02 |
| 1336138734 | Mohamad Reza Samiian | Plastic Surgery | 4221 Southpoint Pkwy, Jacksonville, FL 32216 | 2005-10-18 |
| 1861495723 | David Winton Mobley | Plastic Surgery | 5101 Gate Parkway, Suite 2, Jacksonville, FL 32256-7276 | 2005-05-24 |
| 1720354046 | Body Balance Md | Plastic Surgery | 6817 Southpoint Pkwy, Suite 801, Jacksonville, FL 32216 | 2012-03-30 |
| 1902108020 | Sofia K. Kirk, M.d., Pllc | Plastic Surgery | 13241 Bartram Park Blvd, Ste 1017, Jacksonville, FL 32258-5212 | 2010-11-22 |
| 1760797773 | Thomas J Rojy Jr Md Pa | Plastic Surgery | 43 Office Park Dr, Jacksonville, NC 28546-3220 | 2010-08-13 |
| 1588985972 | Jacksonville Plastic Surgery Inc | Plastic Surgery | 3599 University Blvd S, Suite 1600, Jacksonville, FL 32216-4252 | 2010-06-20 |
| 1891921581 | Truyou Plastic Surgery of Jacksonville Pllc | Plastic Surgery | 7711 Baymeadows Rd E, Suite #6, Jacksonville, FL 32256-9675 | 2009-06-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
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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.