NICOLE SUNDERLAND ANDERSON (NPI# 1437331733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437331733 |
| Entity Type | Individual |
| Full Name | NICOLE SUNDERLAND ANDERSON |
| Credential | MD |
| Practice Address |
1235 San Marco Blvd Suite 100 Jacksonville FL 32207-8554 |
| Mailing Address |
Po Box 19675 Jacksonville FL 32245-9675 |
| Practice Telephone | 9042027020 |
| Practice Fax Number | 9042027029 |
| Mailing Telephone | 9043098680 |
| Mailing Fax Number | 9043455841 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2012-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME 111558 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003120545A | 05 | |
| FL | BCBS | 14J0N | 01 |
| FL | 004305000 | 05 | |
| FL | AVMED | 351861 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376174367 | Nicole Anderson | Counselor | 189 Orange St Ste 380, New Haven, CT 06510-2014 | 2020-01-29 |
| 1386285567 | Nicole Anderson | Psychologist | 17100 Glenmount Park Dr Ste C, Webster, TX 77598-4368 | 2019-09-30 |
| 1558865923 | Nicole Anderson | Dental Hygienist | 144 Genesee St Ste 303, Auburn, NY 13021-3526 | 2018-03-21 |
| 1699275149 | Nicole S Anderson | Counselor | 6919 E 10th St Ste C, Indianapolis, IN 46219-4893 | 2018-02-20 |
| 1518479880 | Nicole Anderson | Registered Nurse | 5514 Aeriel Pl, Frederick, MD 21703-6555 | 2017-10-26 |
| 1578099214 | Nicole A Anderson | Physical Therapist | 260 Newport Center Dr Ste 502, Newport Beach, CA 92660-7520 | 2017-05-01 |
| 1093248528 | Nicole Anderson | Speech-Language Pathologist | 9907 Ne 124th St, Apt. 816, Kirkland, WA 98034-3752 | 2017-04-11 |
| 1275074148 | Nicole Anderson | Occupational Therapist | 2176 State Route 32, Modena, NY 12548-5211 | 2017-03-13 |
| 1063805869 | Nicole Anderson | Behavioral Analyst | 2105 E Park St, Cedar Park, TX 78613-4598 | 2015-03-18 |
| 1912305954 | Nicole Nichelle Anderson | Counselor | 3820 Kenzie Ct, Balch Springs, TX 75180-5011 | 2014-12-08 |
| Street Address |
1235 SAN MARCO BLVD SUITE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699762906 | Robert Allen Joyce | Internal Medicine | 1235 San Marco Blvd, 3rd Floor, Jacksonville, FL 32207 | 2005-10-03 |
| 1962862466 | Stephanie Palazzolo | Physician Assistant | 1235 San Marco Blvd, Suite 2, Jacksonville, FL 32207-8554 | 2016-02-26 |
| 1609286897 | Baptist-southeast Gynecologic Oncology Inc | Radiology | 1235 San Marco Blvd, Suite 1, Jacksonville, FL 32207-8554 | 2014-04-28 |
| 1538593124 | Baptist - Southeast Gynecologic Oncology Associates, Inc. | Internal Medicine | 1235 San Marco Blvd, Suite 2, Jacksonville, FL 32207-8554 | 2013-08-30 |
| 1548512056 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 1235 San Marco Blvd, Suite 202, Jacksonville, FL 32207-8554 | 2012-10-08 |
| 1871849034 | Melinda Wheeley Fawbush | Nurse Practitioner | 1235 San Marco Blvd, #419, Jacksonville, FL 32207-8554 | 2012-07-25 |
| 1215101902 | 21st Century Oncology of Jacksonville LLC | Surgery | 1235 San Marco Blvd, Suite 3, Jacksonville, FL 32207-8554 | 2008-04-15 |
| 1497956072 | John Ho Vu | Internal Medicine | 1235 San Marco Blvd, Suite 2, Jacksonville, FL 32207-8554 | 2007-05-30 |
| 1477605962 | Gerard A Coluccelli Md Pa | Ophthalmology | 1235 San Marco Blvd, 401, Jacksonville, FL 32207 | 2007-01-17 |
| 1427109248 | Seth A Strope | Urology | 1235 San Marco Blvd, Suite 2, Jacksonville, FL 32207-8554 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033544390 | Florida Physician Specialists LLC | Radiology | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2013-09-05 |
| 1962662775 | Curtis Michael Bryant | Radiology | 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 | 2008-06-15 |
| 1275791055 | Bradford Scott Hoppe | Radiology | 4500 San Pablo Rd, Jacksonville, FL 32224 | 2008-05-28 |
| 1023282456 | Jacksonville Radiation Therapy Services LLC | Radiology | 7751 Baymeadows Road E, Jacksonville, FL 32256 | 2008-04-16 |
| 1033213038 | Jacksonville Oncology Institute Limited | Radiology | 567 N Westgate Ave, Jacksonville, IL 62650-1156 | 2006-09-11 |
| 1689630949 | Mark Emerson Augspurger | Radiology | 14546 Old Saint Augustine Rd Ste 105, Jacksonville, FL 32258-5469 | 2006-04-25 |
| 1245296904 | Ahmed M Akl | Radiology | 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 | 2006-04-21 |
| 1649231291 | Randal Hollis Henderson | Radiology | 2015 N. Jefferson St., Jacksonville, FL 32206 | 2006-03-31 |
| 1679555270 | Romaine Charles Nichols Jr. | Radiology | 2015 Jefferson St, Jacksonville, FL 32206-3531 | 2005-11-18 |
| 1972508299 | Paul B Ossi | Radiology | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 | 2005-06-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.