DR. DAVID OMER CHILDERS JR. (NPI# 1467493288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467493288 |
| Entity Type | Individual |
| Full Name | DR. DAVID OMER CHILDERS JR. |
| Credential | M.D. |
| Practice Address |
6271 Saint Augustine Rd Ufjp Developmental Pediatrics Jacksonville FL 32217-2523 |
| Mailing Address |
Po Box 44008 Ufjp Provider Enrollment Jacksonville FL 32231-4008 |
| Practice Telephone | 9046330770 |
| Practice Fax Number | 9046330751 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | ME86363 | FL | Allopathic & Osteopathic Physicians |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
ME86363 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
ME86363 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000975301A | 05 | |
| FL | 2658267-00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538638044 | David Childers | Chiropractor | 312 Dolphin Dr, Jacksonville, NC 28546-5266 | 2018-11-14 |
| 1033696588 | David A Childers | Pharmacist | 3411 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361 | 2018-07-26 |
| 1891046280 | David Childers | Occupational Therapist | 1630 W 2nd St, Chanute, KS 66720-1930 | 2012-09-25 |
| 1043401029 | David Courtland Childers | Internal Medicine | 5050 Ne Hoyt St, Suite 540, Portland, OR 97213-2991 | 2007-08-06 |
| 1508981176 | David Honald Childers | Dentist | 150 E Division Rd, Suite #3, Oak Ridge, TN 37830-6938 | 2007-03-20 |
| Street Address |
6271 SAINT AUGUSTINE RD UFJP DEVELOPMENTAL PEDIATRICS |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154380285 | Olin Beverly Mauldin Jr. | Pediatrics | 6271 Saint Augustine Rd, Ufjp San Jose Pediatric and Adolescenter Center, Jacksonville, FL 32217-2523 | 2006-03-18 |
| 1588892178 | Mary Elsielynn Carrigan | Nurse Practitioner | 6271 Saint Augustine Rd, Ufjax - Dept. of Pediatrices, Jacksonville, FL 32217-2523 | 2009-06-23 |
| 1316035413 | Susan S Moore | Pediatrics | 6271 Saint Augustine Rd, Jacksonville, FL 32217-2523 | 2006-10-11 |
| 1790706711 | Carmela Lydia Tardo | Psychiatry & Neurology | 6271 Saint Augustine Rd, Ufjp Developmental Pediatrics, Jacksonville, FL 32217-2523 | 2006-07-23 |
| 1801848056 | Tajvar H Goudarzi | Pediatrics | 6271 Saint Augustine Rd, Ufjp San Jose Peds and Adolescent Center, Jacksonville, FL 32217-2523 | 2006-05-16 |
| 1598727075 | Pamela Alix Lindor | Pediatrics | 6271 Saint Augustine Rd, Jacksonville, FL 32217-2523 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831641562 | Deanna Seymour | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2016-10-28 |
| 1902131147 | Laura Fallgatter | Pediatrics | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2009-10-06 |
| 1174792535 | Karen Lebrecht | Pediatrics | 12276 San Jose Blvd, Suite 507, Jacksonville, FL 32223-8628 | 2008-02-29 |
| 1144429432 | Trisha Vanbrederode Kee | Pediatrics | 12276 San Jose Blvd, Suite 507, Jacksonville, FL 32223-8628 | 2007-07-16 |
| 1164540092 | Candace Moseley | Pediatrics | 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223-8618 | 2007-03-27 |
| 1518085307 | Jerilyn Jones | Pediatrics | 12276 San Jose Blvd, Ste 507, Jacksonville, FL 32223-8628 | 2007-03-27 |
| 1922126713 | Kathleen Lathram | Pediatrics | 12276 San Jose Blvd, Ste 507, Jacksonville, FL 32223-8628 | 2007-03-27 |
| 1013035815 | Bridget Sharrar | Pediatrics | 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223-8618 | 2007-03-27 |
| 1215054366 | Tenee Holland | Pediatrics | 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223-8618 | 2007-03-23 |
| 1851440333 | Joseph Pesek IIi | Pediatrics | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2007-01-10 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32217 |
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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.