DR. MARC RICHARD LITT (NPI# 1528060936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528060936 |
| Entity Type | Individual |
| Full Name | DR. MARC RICHARD LITT |
| Credential | MD |
| Practice Address |
836 Prudential Dr Ste 1700 Credentialing Department Jacksonville FL 32207-8344 |
| Mailing Address |
Po Box 43667 Jacksonville FL 32203-3667 |
| Practice Telephone | 9043980125 |
| Practice Fax Number | 9043981832 |
| Mailing Telephone | 9043983760 |
| Mailing Fax Number | 9043981832 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2015-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME59005 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME59005 | FL | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
ME59005 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 064895700 | 05 | |
| FL | RR MEDICARE | 110082041 | 01 |
| Street Address |
836 PRUDENTIAL DR STE 1700 CREDENTIALING DEPARTMENT |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760018469 | Laura Elizabeth Spear | Nurse Practitioner | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2020-03-14 |
| 1992284343 | Morgan Elizabeth Koch | Physician Assistant | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2018-08-07 |
| 1023480498 | Jenna D Effron | Physician Assistant | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2015-10-26 |
| 1881080646 | Julia C Silver | Physician Assistant | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2015-04-08 |
| 1629467394 | Natasha Lee | Physician Assistant | 836 Prudential Dr Ste 1700, Credentialing Department, Jacksonville, FL 32207-8344 | 2015-01-17 |
| 1881094308 | Jarica Thigpen | Physician Assistant | 836 Prudential Dr Ste 1700, Credentialing Department, Jacksonville, FL 32207-8344 | 2014-09-03 |
| 1669881801 | Jessica Lynn Saliba | Nurse Practitioner | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2014-08-12 |
| 1144650078 | Max Courtney II | Physician Assistant | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2013-11-13 |
| 1194070862 | Ryan R Shrode | Licensed Practical Nurse | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2012-07-19 |
| 1508178567 | Christopher Owen Austin | Internal Medicine | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207-8344 | 2010-07-07 |
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
| 1366950230 | Cardiac Cin of Jacksonville LLC | Internal Medicine | 1301 Riverplace Blvd # 800c, Jacksonville, FL 32207-9047 | 2018-01-13 |
| 1982677068 | Abdul Rahman Kani | Internal Medicine | 8245 Bayberry Rd, Jacksonville, FL 32256-7432 | 2006-02-09 |
| 1881197044 | John-paul Pham | Internal Medicine | 1907 Atlantic Blvd, Jacksonville, FL 32207-3405 | 2018-03-14 |
| 1891294856 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256 | 2018-02-06 |
| 1013375195 | Duval Vascular Center, LLC | Internal Medicine | 915 W Monroe St, Suite 100, Jacksonville, FL 32204-1177 | 2016-02-04 |
| 1114332962 | Advanced Vascular Resources of Jacksonville, LLC | Internal Medicine | 4253 Salisbury Rd, Jacksonville, FL 32216-6121 | 2014-06-30 |
| 1992058333 | Omar Marwan Hamoui | Internal Medicine | 7011 A C Skinner Pkwy Ste 160, Jacksonville, FL 32256-6953 | 2012-10-23 |
| 1760751598 | Baptist Cardiology, Inc. | Internal Medicine | 3563 Phillips Hwy Ste 106a, Credentialing Department, Jacksonville, FL 32207-5663 | 2011-12-22 |
| 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.