BAPTIST PRIMARY CARE INC (NPI# 1689858904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689858904 |
| Entity Type | Organization |
| Organization Name | BAPTIST PRIMARY CARE INC |
| Practice Address |
10475 Centurion Pkwy N Suite 203 Jacksonville FL 32256-5003 |
| Mailing Address |
Po Box 45443 Salt Lake City UT 84145-0443 |
| Practice Telephone | 9046410304 |
| Practice Fax Number | 9046412480 |
| Mailing Telephone | 9042021032 |
| Mailing Fax Number | 9043764107 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2018-12-14 |
| Authorized Official Name | MARSHA DONALDSON (VICE PRESIDENT) |
| Authorized Official Telephone | 9043763703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475815 | Baptist Primary Care Inc | Pediatrics | 520 A1a N Ste 102, Ponte Vedra Beach, FL 32082-2260 | 2020-07-23 |
| 1184246670 | Baptist Primary Care Inc | Family Medicine | 832 A1a N Ste 6, Ponte Vedra Beach, FL 32082-3216 | 2020-05-07 |
| 1811439516 | Baptist Primary Care Inc | Family Medicine | 769 Blanding Blvd, Suite 7, Orange Park, FL 32065-8720 | 2016-11-11 |
| 1124460761 | Baptist Primary Care Inc | Internal Medicine | 6209 Brooks Bartram Drive, Jacksonville, FL 32258-5600 | 2013-07-24 |
| 1639351927 | Baptist Primary Care Inc | Internal Medicine | 1660 Prudential Dr Ste 310, Jacksonville, FL 32207-8185 | 2007-11-29 |
| 1316128259 | Baptist Primary Care Inc | Family Medicine | 4530 Saint Johns Ave Ste 13, Jacksonville, FL 32210-1852 | 2007-11-20 |
| 1275714214 | Baptist Primary Care Inc | Family Medicine | 1864 Lime St, Suite 5, Fernandina Beach, FL 32034-4795 | 2007-11-19 |
| 1073794038 | Baptist Primary Care Inc | Internal Medicine | 1403 Dunn Ave, Suite 26, Jacksonville, FL 32218-6346 | 2007-11-19 |
| 1457532400 | Baptist Primary Care Inc | Family Medicine | 45465 5th Ave, Callahan, FL 32011-3901 | 2007-11-19 |
| 1154502110 | Baptist Primary Care Inc | Family Medicine | 1590 Island Ln, Suite 1, Orange Park, FL 32003-4406 | 2007-11-19 |
| Street Address |
10475 CENTURION PKWY N SUITE 203 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265438493 | James Douglas Green Jr. | Specialist | 10475 Centurion Pkwy N, Ste 303, Jacksonville, FL 32256-5003 | 2005-06-22 |
| 1285170282 | Kelli D. Williams | Physician Assistant | 10475 Centurion Pkwy N, Suite 104, Jacksonville, FL 32256-5003 | 2017-01-13 |
| 1235593641 | Ryan M Funderburk | Audiologist | 10475 Centurion Pkwy N, Suite 303, Jacksonville, FL 32256-5003 | 2016-04-12 |
| 1275998908 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 | 2015-12-23 |
| 1821479650 | Kristen Edenfield | Audiologist | 10475 Centurion Pkwy N, #303, Jacksonville, FL 32256-5003 | 2015-06-17 |
| 1952789547 | Christopher Perez De Corcho | Physical Therapist | 10475 Centurion Pkwy N, #304, Jacksonville, FL 32256-5003 | 2015-05-14 |
| 1588059083 | Krista L Boniecki | Physical Therapist | 10475 Centurion Pkwy N, Suie 220, Jacksonville, FL 32256-5003 | 2015-04-01 |
| 1679970990 | Paul D Sturney | Physician Assistant | 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 | 2014-12-02 |
| 1326440801 | Healthcore Wellness, P.a. | Chiropractor | 10475 Centurion Pkwy N, Suite 201, Jacksonville, FL 32256-5003 | 2014-09-16 |
| 1902213770 | Tonya Goodson | Nurse Practitioner | 10475 Centurion Pkwy N, #203, Jacksonville, FL 32256-5003 | 2014-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1013402783 | Thyroid Diabetes Endocrinology and Wellness Inc | Internal Medicine | 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216-3685 | 2018-06-26 |
| 1013461193 | Diabetes Management Partners LLC | Internal Medicine | 4190 Belfort Rd Ste 352, Jacksonville, FL 32216-1407 | 2016-08-07 |
| 1679910863 | Poonam Kalidas Kapadia | Internal Medicine | 653 W 8th St # L-14, Jacksonville, FL 32209-6511 | 2013-05-28 |
| 1679896401 | Robert Miller Md Pa | Internal Medicine | 1547 San Marco Blvd, Jacksonville, FL 32207-2905 | 2010-03-08 |
| 1467683524 | Salma Makhoul-ahwach | Internal Medicine | 3 Shircliff Way Ste 630, Jacksonville, FL 32204-4776 | 2009-08-06 |
| 1811134216 | Rafael Eligio Gomez Jr. | Internal Medicine | 1222 Molokai Rd, Jacksonville, FL 32216-3276 | 2009-01-07 |
| 1134328719 | Ramadan Hammoud | Internal Medicine | 9745 Touchton Rd Unit 1705, Jacksonville, FL 32246-9200 | 2007-07-13 |
| 1255541512 | Eric Charles Puestow | Internal Medicine | 7746 Miller Oaks Dr W, Jacksonville, FL 32217-3512 | 2007-05-23 |
| 1952387912 | Gunjan Y Gandhi | Internal Medicine | 653 W 8th St, Jacksonville, FL 32209-6511 | 2005-12-21 |
| 1821071903 | Melissa Anne Morgan | Internal Medicine | 11945 San Jose Blvd Ste 301, Credentialing Department, Jacksonville, FL 32223-1627 | 2005-11-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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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.