BAPTIST ENT SPECIALISTS INC (NPI# 1700265998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700265998 |
| Entity Type | Organization |
| Organization Name | BAPTIST ENT SPECIALISTS INC |
| Practice Address |
1747 Baptist Clay Rd Suite 360 Fleming Island FL 32003-8502 |
| Mailing Address |
Po Box 40767 Jacksonville FL 32203-0767 |
| Practice Telephone | 9045921068 |
| Practice Fax Number | 9045414728 |
| Mailing Telephone | 9043763707 |
| Mailing Fax Number | 9043915001 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2017-02-01 |
| Authorized Official Name | CATHERINE GRAHAM (ADMINISTRATOR) |
| Authorized Official Telephone | 9042025370 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004630400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1346762234 | Baptist Ent Specialists Inc | Allergy & Immunology | 14546 Old Saint Augustine Rd Ste 301, Jacksonville, FL 32258-5472 | 2017-07-12 |
| 1215459441 | Baptist Ent Specialists Inc | Allergy & Immunology | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250-3206 | 2017-07-10 |
| 1144767997 | Baptist Ent Specialists Inc | Otolaryngology | 7740 Point Meadows Dr, Suite 7, Jacksonville, FL 32256-9179 | 2017-01-31 |
| 1114477940 | Baptist Ent Specialists Inc | Otolaryngology | 1348 S 18th St, Suite 340, Fernandina Beach, FL 32034-4785 | 2016-10-05 |
| 1114306024 | Baptist Ent Specialists Inc | Otolaryngology | 836 Prudential Dr, Suite 1601, Jacksonville, FL 32207-8334 | 2015-05-26 |
| 1598143166 | Baptist Ent Specialists Inc | Otolaryngology | 751 Oak St, Suite 610, Jacksonville, FL 32204-3359 | 2015-05-14 |
| 1467741264 | Baptist Ent Specialists Inc | Otolaryngology | 836 Prudential Dr, Suite 1802, Jacksonville, FL 32207-8334 | 2011-04-01 |
| 1285923086 | Baptist Ent Specialists Inc | Otolaryngology | 836 Prudential Dr, Suite 807, Jacksonville, FL 32207-8334 | 2011-04-01 |
| 1083913453 | Baptist Ent Specialists Inc | Otolaryngology | 14546 Old Saint Augustine Rd, Suite 401, Jacksonville, FL 32258-5468 | 2011-03-24 |
| Street Address |
1747 BAPTIST CLAY RD SUITE 360 |
| City | FLEMING ISLAND |
| State | FL |
| Zip Code | 32003-8502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053352864 | Dian S Trent | Nurse Practitioner | 1747 Baptist Clay Rd, Suite 340, Fleming Island, FL 32003-8502 | 2006-06-10 |
| 1457791246 | Baptist Primary Care Inc | Pediatrics | 1747 Baptist Clay Rd, Suite 110, Fleming Island, FL 32003-8501 | 2013-06-26 |
| 1366880452 | Baptist Primary Care Inc | Family Medicine | 1747 Baptist Clay Rd, Suite 340, Fleming Island, FL 32003-8501 | 2013-06-11 |
| 1629416805 | Baptist Cardiology Inc | Internal Medicine | 1747 Baptist Clay Rd, Suite 320, Fleming Island, FL 32003-8501 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627497 | Paul A Walker | Otolaryngology | 1747 Baptist Clay Dr, Suite 230, Fleming Island, FL 32003-8502 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870977 | Shanmugasundaram, Venkatachalam | Otolaryngology | 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109 | 2020-04-24 |
| 1851910517 | Daniel Oswaldo Manrique | Otolaryngology | 325 Saddle Ridge Dr, Davenport, FL 33896-8176 | 2020-04-13 |
| 1932735768 | Martin Alvin Shugar | Otolaryngology | 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 | 2020-03-12 |
| 1396219242 | North Broward Hospital Distric T | Otolaryngology | 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 | 2019-01-14 |
| 1356811194 | Donald Lee Roberts | Otolaryngology | 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 | 2018-12-04 |
| 1275022238 | Mary Teresa Garrish | Otolaryngology | 405 Sims Way, Merritt Island, FL 32952-5233 | 2018-05-05 |
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
| 1427414358 | Rufus Madison Holloway Jr. | Otolaryngology | 1616 Lake Shore Drive, Orlando, FL 32803 | 2016-01-07 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| Find all providers with the same taxonomy | ||||
| City | FLEMING ISLAND |
| Zip Code | 32003 |
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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.