LEWIS J. OBI, M.D., P.A. (NPI# 1548586894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548586894 |
Entity Type | Organization |
Organization Name | LEWIS J. OBI, M.D., P.A. |
Practice Address |
3599 University Blvd S Suite 604 Jacksonville FL 32216-4252 |
Practice Telephone | 9043990905 |
Practice Fax Number | 9043460757 |
Mailing Telephone | 9043990905 |
Mailing Fax Number | 9043460757 |
Enumeration Date | 2010-04-12 |
Last Update Date | 2010-04-12 |
Authorized Official Name | DR. LEWIS JOHN OBI (MEDICAL DIRECTOR) |
Authorized Official Telephone | 9043990905 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
ME 12407 | FL | Allopathic & Osteopathic Physicians |
Street Address |
3599 UNIVERSITY BLVD S SUITE 604 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32216-4252 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578568952 | Dawn Nichelle Rosado | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2005-06-14 |
1568061158 | Azucena Crosbie | Social Worker | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-10-23 |
1033735139 | Kristen Duncan | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-06-24 |
1336763184 | Amanda Ault | Occupational Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-06-07 |
1699309989 | Christina Brown | Nurse Practitioner | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-02-26 |
1396383949 | Abby Maillet | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-12-13 |
1760034383 | Lauren Campbell Vann | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-13 |
1740842178 | Charmaine Uy | Occupational Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-06 |
1871155317 | Michael Braun | Occupational Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-05 |
1023670775 | Alys Cook | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
Find all providers in zip 32216 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821354325 | Michael Vincent Defazio | Surgery | 14546 Old Saint Augustine Rd Ste 407, Jacksonville, FL 32258-5473 | 2012-04-09 |
1003876251 | Timothy Edward Fee | Surgery | 4147 Southpoint Dr E, Jacksonville, FL 32216-0996 | 2006-03-23 |
1639164692 | David N Csikai | Surgery | 3616 Cardinal Point Dr, Jacksonville, FL 32257-5581 | 2005-09-15 |
1932302387 | Ankit R Desai | Surgery | 14540 Old Saint Augustine Rd, Suite # 2391, Jacksonville, FL 32258-7418 | 2007-06-05 |
1649265463 | Vaishali B Doolabh | Surgery | 6269 Beach Blvd, Suite 1, Jacksonville, FL 32216-2705 | 2005-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568025419 | Reinventme, LLC | Surgery | 13696 N Us Highway 441 Ste 100, Lady Lake, FL 32159-6815 | 2019-04-17 |
1750854378 | David Gerth Md Pa | Surgery | 4308 Alton Rd Ste 940, Miami Beach, FL 33140-4560 | 2019-01-07 |
1588165773 | Deepak Naidu Md, Pa | Surgery | 201 E Kennedy Blvd Ste 410, Tampa, FL 33602-3641 | 2018-02-23 |
1194225599 | Joseph Charles Gallagher Jr. | Surgery | 9201 Midnight Pass Rd, Sarasota, FL 34242-2921 | 2018-02-13 |
1043729569 | Renee Gasgarth, M.d. P.a. | Surgery | 7300 Sw 62nd Pl Ste 200, South Miami, FL 33143-4800 | 2017-09-27 |
1184150625 | Pamela Loftus | Surgery | 4454 Woodfield Blvd, Boca Raton, FL 33434-5310 | 2017-05-03 |
1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
1629482096 | Jill Swindell | Surgery | 1921 Waldemere St Ste 801, Sarasota, FL 34239-2913 | 2014-06-13 |
1205274784 | Melanie L Aya-ay Md Plastic Surgery Pl | Surgery | 17523 N Dale Mabry Hwy, Lutz, FL 33548-4521 | 2013-06-06 |
1790123487 | Jason Crespo | Surgery | 1250 Pine Ridge Rd Ste 101c, Naples, FL 34108-8913 | 2013-06-05 |
Find all providers with the same taxonomy |
City | JACKSONVILLE |
Zip Code | 32216 |
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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.