DR. BRENT STOTTMAN (NPI# 1598045106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598045106 |
| Entity Type | Individual |
| Full Name | DR. BRENT STOTTMAN |
| Credential | D.O. |
| Practice Address |
13500 Sutton Park Dr S # 404-3 Jacksonville FL 32224-5251 |
| Practice Telephone | (904) 379-2202 |
| Mailing Telephone | (904) 379-2202 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
OS11937 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2025 Indian Rocks Rd S, Largo, FL 337741035 | 7275867103 | 7275857205 |
| Street Address |
13500 SUTTON PARK DR S # 404-3 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224-5251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629404181 | Maged Adel Ghali | Internal Medicine | 4555 Emerson St Ste 300, Jacksonville, FL 32207-4958 | 2013-09-16 |
| 1477801884 | Richard Duncan Hardin | Internal Medicine | 2822 Cherokee Ave, Jacksonville, FL 32210-4356 | 2012-08-16 |
| 1871815290 | Alejandro A Radi Md Pa | Internal Medicine | 3599 University Blvd S Ste 8, Jacksonville, FL 32216-4211 | 2010-02-26 |
| 1467687160 | Oxana Norkina | Internal Medicine | 1375 Roberts Dr Ste 204, Jacksonville, FL 32250-3209 | 2009-05-26 |
| 1164621447 | Emily A Poland | Internal Medicine | 14540 Old Saint Augustine Rd Ste 2207, Jacksonville, FL 32258-7419 | 2007-07-16 |
| 1073719688 | Nassim Youssef El Hajj | Internal Medicine | 3627 University Blvd. South, Suite 705, Jacksonville, FL 32216 | 2007-06-21 |
| 1831210889 | Gastroenterology Associates of Northeast Florida P.l. | Internal Medicine | 4123 University Blvd S Ste A, Jacksonville, FL 32216-4320 | 2007-04-03 |
| 1215079256 | Ali Moghani Lankarani | Internal Medicine | 3 Shircliff Way Ste 400, Jacksonville, FL 32204-4780 | 2007-02-13 |
| 1790846988 | Xiaoyu Li | Internal Medicine | 6817 Southpoint Pkwy Ste 102, Jacksonville, FL 32216-6285 | 2006-12-12 |
| 1366522740 | Alroy Andrew Chow | Internal Medicine | 1146 W Kesley Ln, Jacksonville, FL 32259-3257 | 2006-10-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
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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.