DR. JOSEPH BOLANAN SALENGA (NPI# 1689819534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689819534 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH BOLANAN SALENGA |
| Credential | M.D. |
| Practice Address |
8773 Perimeter Park Ct Jacksonville FL 32216-1165 |
| Practice Telephone | 9044933390 |
| Practice Fax Number | 9044933395 |
| Mailing Telephone | 9044933390 |
| Mailing Fax Number | 9044933395 |
| Enumeration Date | 2008-12-06 |
| Last Update Date | 2016-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME114390 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 261577 | NY | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | ME114390 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | WELLCARE | 786594 | 01 |
| GA | GEORGIA MEDICAID | 003174381A | 01 |
| FL | AVMED | 363224 | 01 |
| FL | 0083955-00 | 05 | |
| FL | MEDICAID GROUP | 2610299-00 | 01 |
| FL | FLORIDA BLUE | 14P3S | 01 |
| FL | MEDICARE - INDIVIDUAL | GY389Z | 01 |
| FL | RR MEDICARE | P01202783 | 01 |
| FL | MEDICARE - GROUP | 45681 | 01 |
| Street Address |
8773 PERIMETER PARK CT |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498131 | Marc Benjamin Blatt | Internal Medicine | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2005-06-22 |
| 1356970065 | Onsite Concierge Medicine Group LLC | General Practice | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2020-04-04 |
| 1053963793 | Stephanie Ann May | Nurse Practitioner | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2019-07-12 |
| 1184195893 | Bryan Silva | Nurse Practitioner | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2018-12-07 |
| 1396282620 | Margaret E Seymour Md Pa | Surgery | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2017-01-25 |
| 1427590470 | Carneisha Myles | Nurse Practitioner | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2016-11-08 |
| 1649722604 | Marcus J Cox Md LLC | Internal Medicine | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2016-10-25 |
| 1922450741 | Melissa Faye Townsend | Registered Nurse | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2016-07-05 |
| 1972972644 | Felicia Conrad | Chiropractor | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2015-09-23 |
| 1174863989 | Superior Physical Medicine LLC | Durable Medical Equipment & Medical Supplies | 8773 Perimeter Park Ct, Jacksonville, FL 32216-1165 | 2013-02-15 |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831490432 | Wallace Thomas | Hospitalist | 1701 San Pablo Rd S, 1213, Jacksonville, FL 32224-2088 | 2010-11-12 |
| 1508817529 | Baptist Primary Care Inc | Hospitalist | 3563 Philips Hwy Ste 106a, Jacksonville, FL 32207-5663 | 2006-05-15 |
| 1972585081 | Nasrullah Ghafoor | Hospitalist | 4466 Swilcan Bridge Ln N, Jacksonville, FL 32224-5617 | 2005-11-15 |
| 1831584473 | Mario Cisneros | Hospitalist | 653 W 8th St # L18, Jacksonville, FL 32209-6511 | 2015-03-31 |
| 1205220555 | Jorge Miguel Trabanco | Hospitalist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2015-03-25 |
| 1437583572 | Kaley Jo Azar | Hospitalist | 807 Childrens Way, Jacksonville, FL 32207 | 2013-08-26 |
| 1952733719 | Michael Smerina | Hospitalist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2013-08-05 |
| 1235573882 | Priyanka Vijapura | Hospitalist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2013-04-25 |
| 1629336060 | Gautam Matcha | Hospitalist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2012-04-23 |
| 1326327651 | Karthik Gnanapandithan | Hospitalist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2011-08-04 |
| Find all providers in JACKSONVILLE | ||||
| 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.