DR. SRIDHAR SRINIVASAN (NPI# 1750598363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750598363 |
Entity Type | Individual |
Full Name | DR. SRIDHAR SRINIVASAN |
Credential | MD |
Practice Address |
14546 Old Saint Augustine Rd Ste 100 Jacksonville FL 32258-5468 |
Mailing Address |
Po Box 45278 Jacksonville FL 32232-5278 |
Practice Telephone | 9042027300 |
Practice Fax Number | 9042027377 |
Mailing Telephone | 9042022092 |
Mailing Fax Number | 9043937603 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2018-10-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME99519 | FL | Allopathic & Osteopathic Physicians |
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
062292 | GA | Allopathic & Osteopathic Physicians |
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
4301085324 | MI | Allopathic & Osteopathic Physicians |
Street Address |
14546 OLD SAINT AUGUSTINE RD STE 100 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32258-5468 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558840264 | Baptist-southeast Gynecologic Oncology Associates Inc | Internal Medicine | 14546 Old Saint Augustine Rd Ste 100, Jacksonville, FL 32258-5468 | 2018-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
Find all providers in zip 32258 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760818959 | Talha Badar | Internal Medicine | 4500 San Pablo Rd S # X, Jacksonville, FL 32224-1865 | 2013-09-19 |
1952621237 | Harvey B Sher | Internal Medicine | 2742 Beauclerc Rd, Jacksonville, FL 32257-5602 | 2010-06-09 |
1548426703 | Ewa M Wysokinska | Internal Medicine | 4500 San Pablo Rd S Fl 3222, Jacksonville, FL 32224-1865 | 2008-08-06 |
1891878146 | Miten R Patel | Internal Medicine | 7015 Ac Skinner Parkway, Building 100, Jacksonville, FLORIDA 32256-6932 | 2006-10-23 |
1831122035 | Shonda Michelle Asaad | Internal Medicine | 239 Station St, Jacksonville, NC 28546-6304 | 2006-07-09 |
1770535700 | Sahana R Kalmadi | Internal Medicine | 14546 Old Saint Augustine Rd Ste 317, Jacksonville, FL 32258-5472 | 2006-05-17 |
1902889959 | Maria J Valente | Internal Medicine | 7015 A C Skinner Pkwy, Bldg 100, Jacksonville, FL 32256-6932 | 2005-11-23 |
1124017850 | Lawrence Arthur Solberg Jr. | Internal Medicine | 3827 Coopers Lake Rd, Jacksonville, FL 32224-8436 | 2005-10-15 |
1922095884 | Carlos M Castillo | Internal Medicine | 7751 Baymeadows Rd E Ste 205, Jacksonville, FL 32256 | 2005-10-05 |
1932196243 | Integrated Community Oncology Network LLC | Internal Medicine | 9143 Philips Hwy, Ste 560, Jacksonville, FL 32256-1348 | 2005-10-03 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32258 |
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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.