DR. MD. IRTIZA HASAN (NPI# 1619434586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619434586 |
| Entity Type | Individual |
| Full Name | DR. MD. IRTIZA HASAN |
| Other Name | IRTIZA HASAN |
| Credential | MD, MSC |
| Practice Address |
655 W 8th St Fl 4 Jacksonville FL 32209-6511 |
| Practice Telephone | 9042446761 |
| Practice Fax Number | 9042444431 |
| Mailing Telephone | 9042446761 |
| Mailing Fax Number | 9042444431 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
TRN28121 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TRN28121 | FL | Student, Health Care |
| Street Address |
655 W 8TH ST FL 4 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477047124 | Ibraheem Javeed Mohammed | Student in an Organized Health Care Education/Training Program | 655 W 8th St Fl 4, Jacksonville, FL 32209-6511 | 2018-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1629499090 | Pro-med Collectors LLC | Internal Medicine | 1907 Atlantic Blvd, Jacksonville, FL 32207-3466 | 2014-01-02 |
| 1821275330 | Nephrology Consultants of Jacksonville LLC | Internal Medicine | 3129 Hendricks Ave, Jacksonville, FL 32207-4217 | 2008-01-28 |
| 1457455719 | Andrew Wasiluk | Internal Medicine | 3129 Hendricks Avenue, Jacksonville, FL 32207-4217 | 2006-09-08 |
| 1811924210 | Naeem Haider | Internal Medicine | 3599 University Blvd So, Suite 805, Jacksonville, FL 32216 | 2006-06-28 |
| 1265474209 | Koithara Varkey Thomas | Internal Medicine | Eastern Nephrology Associates, 277 Memorial Drive, Jacksonville, NC 28546-6333 | 2006-06-12 |
| 1457917304 | Cardiorenal Therapeutics LLC | Internal Medicine | 6817 Southpoint Pkwy Ste 203, Jacksonville, FL 32216-6286 | 2019-05-16 |
| 1578058939 | Nephrology Consultants of Jacksonville LLC | Internal Medicine | 3129 Hendricks Ave, Jacksonville, FL 32207-4217 | 2018-06-28 |
| 1396283628 | A Abdalla, Inc | Internal Medicine | 5685 Norwood Ave, Jacksonville, FL 32208-5012 | 2017-02-07 |
| 1982141412 | Universal Kidney Care LLC | Internal Medicine | 10752 Deerwood Park Blvd Ste 100, Jacksonville, FL 32256-4846 | 2017-01-23 |
| 1629439740 | Mahnoor Khan | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2016-03-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
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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.