SHANDS TEACHING HOSPITAL AND CLINICS, INC. (NPI# 1578659306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578659306 |
| Entity Type | Organization |
| Organization Name | SHANDS TEACHING HOSPITAL AND CLINICS, INC. |
| Practice Address |
922 E Call St Starke FL 32091-3616 |
| Mailing Address |
Po Box 100345 Gainesville FL 32610-0345 |
| Practice Telephone | 9043682300 |
| Practice Fax Number | 3523733006 |
| Mailing Telephone | 3526279045 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-10-13 |
| Authorized Official Name | MR. EDWARD JIMENEZ (CEO) |
| Authorized Official Telephone | 3527331500 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHANDS TEACHING HOSPITAL AND CLINICS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
4267 | FL | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | 4267 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE RAIL ROAD | CD2952 | 01 |
| FL | 257857300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700112000 | Shands Teaching Hospital and Clinics, Inc. | Pharmacy | 1515 Sw Archer Rd., Room 1010, Gainesville, FL 32608 | 2009-10-22 |
| 1134308489 | Shands Teaching Hospital and Clinics, Inc. | Clinic/Center | 2409 Sw Archer Rd, Gainesville, FL 32608-1305 | 2007-11-02 |
| 1396804373 | Shands Teaching Hospital and Clinics, Inc. | Pharmacy | 4197 Nw 86th Terrace, Suite 1131, Gainesville, FL 32606-6271 | 2006-12-06 |
| 1467532804 | Shands Teaching Hospital and Clinics, Inc. | Home Health | 1610 Nw 23rd Ave, Gainesville, FL 32605 | 2006-10-17 |
| 1659314938 | Shands Teaching Hospital and Clinics, Inc. | Pharmacy | J Hillis Miller Health Ctr Rm 1147, Gainesville, FL 32610-0316 | 2006-06-14 |
| 1437692688 | Shands Teaching Hospital and Clinics, Inc. | Physiological Laboratory | 10435 Se 170th Pl, Summerfield, FL 34491-8998 | 2016-11-21 |
| 1871635771 | Shands Teaching Hospital and Clinics, Inc. | Clinic/Center | 720 Sw 2nd Ave, Suite 305, Gainesville, FL 32601-1212 | 2007-02-14 |
| 1265514764 | Shands Teaching Hospital and Clinics, Inc. | Pharmacy | 2000 Sw Archer Rd, Rm 2130, Gainesville, FL 32608-1136 | 2006-10-20 |
| 1861589178 | Shands Teaching Hospital and Clinics, Inc. | Rehabilitation Unit | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 | 2006-10-06 |
| 1821184649 | Shands Teaching Hospital and Clinics, Inc. | Clinic/Center | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-10-05 |
| Street Address |
922 E CALL ST |
| City | STARKE |
| State | FL |
| Zip Code | 32091-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528021250 | Frederick Jason Mcnew | Physician Assistant | 922 E Call St, Starke, FL 32091-3616 | 2006-04-12 |
| 1831602739 | Starke Hma LLC | Medicare Defined Swing Bed Unit | 922 E Call St, Starke, FL 32091-3616 | 2017-11-14 |
| 1003351818 | Bradford Emergency Group LLC | Physician Assistant | 922 E Call St, Starke, FL 32091-3616 | 2017-01-03 |
| 1164970364 | Bryan John Goss | Nurse Practitioner | 922 E Call St, Starke, FL 32091-3616 | 2016-09-15 |
| 1356750368 | William Shallcross | Pharmacist | 922 E Call St, Starke, FL 32091-3616 | 2014-08-05 |
| 1770998890 | Staccie Anne Allen | Nurse Practitioner | 922 E Call St, Starke, FL 32091-3616 | 2014-06-26 |
| 1851719207 | Dorothy Fox | Pharmacist | 922 E Call St, Starke, FL 32091-3616 | 2014-04-02 |
| 1972930717 | Qazim Salia | Physician Assistant | 922 E Call St, Starke, FL 32091-3616 | 2013-10-10 |
| 1619287158 | Ipn Emergency Physicians of North Florida Pa | Physician Assistant | 922 E Call St, Starke, FL 32091-3616 | 2010-10-18 |
| 1417276650 | Starke Hma Medical Group LLC | Hospitalist | 922 E Call St, Starke, FL 32091-3616 | 2010-05-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548758428 | North Florida Pediatrics, Pa | Pediatrics | North Florida Pediatrics, Pa, 417 East Call Street, Starke, FL 32091 | 2018-04-26 |
| 1568849313 | Myhealth Medical Association | Clinical Nurse Specialist | 3900 Se 38th Ave, Starke, FL 32091 | 2015-04-30 |
| 1801043641 | Michael Leonard Schlofman | Optometrist | 292 Lafayette St, Starke, FL 32091 | 2008-08-22 |
| 1790945236 | Nf Windsor LLC | Skilled Nursing Facility | 602 E. Laura Street, Starke, FL 32091 | 2008-06-09 |
| 1457564312 | Betsy Regina Ledbetter | Developmental Therapist | 417 W. Call St., Starke, FL 32091 | 2007-05-08 |
| 1841322245 | Melissa Diane Smith | Massage Therapist | 9551 Nw Cr 225, Starke, FL 32091 | 2007-03-12 |
| 1619010220 | Sunil Choudary Paladugu | Pharmacist | 470 W Madison St., Starke, FL 32091 | 2007-02-14 |
| 1043356215 | Shri Sairam Drugs LLC | Pharmacy | 395 W Madison St, Starke, FL 32091 | 2007-01-29 |
| 1962582742 | Virgil A Berry Jr. | Chiropractor | 601 E Call St, Starke, FL 32091 | 2006-10-16 |
| 1497786099 | Thomas Joseph Collins | Physician Assistant | 44th Cst/wmd Bldg# 4398, Camp Blanding Joint Training Center, Starke, FL 32091 | 2006-07-05 |
| Find all providers in zip 32091 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144495466 | Pediatric Associates At Argyle Pa | Clinic/Center | 417 E Call St, Starke, FL 32091-3401 | 2008-04-28 |
| 1184891178 | Starke Chiropractic Inc. | Clinic/Center | 225 S Orange St, Starke, FL 32091-3833 | 2008-05-09 |
| 1487727038 | Starke Family Medical Center Inc | Clinic/Center | 345 W Madison St, Starke, FL 32091-3923 | 2006-11-15 |
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| 1467059741 | Aaa Physicians Group | Clinic/Center | 109 Terra Mango Loop Ste B, Orlando, FL 32835-8511 | 2020-10-08 |
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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.