JAMES RYAN PITTS


Address: 2005 Knight Lane, Bldg. H Navy Medicine Support Command, Jacksonville, FL 32212-0140
Phone: 7607257285

JAMES RYAN PITTS (NPI# 1770805954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770805954
Entity Type Individual
Full Name JAMES RYAN PITTS
Credential IDC
Practice Address 2005 Knight Lane
Bldg. H Navy Medicine Support Command
Jacksonville
FL 32212-0140
Mailing Address 11899 Spruce Run Dr Apt A
San Diego
CA 92131-4764
Practice Telephone 7607257285
Mailing Telephone 8582433031
Enumeration Date 2010-02-16
Last Update Date 2010-02-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers JAMES PITTS

NPI Name Taxonomy Address Enumeration
1558573345 James R. Pitts Dentist 1140 Belcher Road, Dunedin, FL 34698 2007-05-04
1740318138 James Rodney Pitts Jr. Registered Nurse 2792 W Jasper Dr, Chandler, AZ 85224-3908 2007-02-28
1306993407 James C. Pitts Sr. Dentist 573 Concord Rd Se Ste B, Smyrna, GA 30082-2611 2007-01-04
1952317364 James Randall Pitts Ophthalmology 114 Saddle Lake Dr, Alabaster, AL 35007-4977 2006-07-31
1851828255 James Wade Pitts Jr. Pharmacist 130 Highway 252, Anderson, SC 29621-5054 2017-05-16
1427343466 James Christian Pitts Ophthalmology 606 Kilani Ave, Wahiawa, HI 96786 2011-06-17
1326207184 James D Pitts Physician Assistant 100 Deerpath, Charleston, IL 61920-9427 2008-06-06
1912195389 James Christian Pitts Chiropractor 2702 Mckinney Ave, #202, Dallas, TX 75204-2508 2007-10-10
1083762678 James Rafael Pitts Psychiatry & Neurology 10333 El Camino Real, Atascadero, CA 93422-5808 2007-01-08
1114098209 James C. Pitts Jr. Dentist 19 W 3rd St, Jasper, TN 37347-3218 2006-11-13

Office Location

Street Address 2005 KNIGHT LANE
BLDG. H NAVY MEDICINE SUPPORT COMMAND
City JACKSONVILLE
State FL
Zip Code 32212-0140

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326018110 Joseph William Karitis Dentist 2005 Knight Lane, Navy Medicine Support Command, Jacksonville, FL 32212-0140 2006-01-24
1427420942 Miranda Grace Hamelberg Psychologist 2005 Knight Lane, Bldg H Navy Medicine Support Command, Jacksonville, FL 32212 2015-10-23
1669840864 Thuyvi Amy Truong Dentist 2005 Knight Lane, Bldg H Navy Med Support Command Attn Med Staff Svcs, Jacksonville, FL 32212-0140 2015-09-04
1710361498 Jonathan Marius Rodriguez Dentist 2005 Knight Lane, Bldg H, Jacksonville, FL 32212-0140 2015-07-13
1710306238 Sara Milan Physical Therapist 2005 Knight Lane, Bldg. H, Jacksonville, FL 32212-0140 2014-04-11
1659707636 Noelle Marie Griffith Nurse Practitioner 2005 Knight Lane, Bldg H, Jacksonville, FL 32212-0140 2013-09-23
1225479942 Cathern N Krupinski Dentist 2005 Knight Lane, Bldg H, Jacksonville, FL 32212-0140 2013-07-10
1275971699 John Randolph Dryden Student in an Organized Health Care Education/Training Program 2005 Knight Lane, Bldg H, Navy Medical Support Cmmd, Medical Staff Servic, Jacksonville, FL 32212-0140 2013-06-07
1780923557 Matthew George Lombardi Student in an Organized Health Care Education/Training Program 2005 Knight Lane, Bldg H, Jacksonville, FL 32212-0140 2013-02-13
1629317573 Cynthia Rose Hiers Psychologist 2005 Knight Lane, Bldg H Medical Staff Services, Jacksonville, FL 32212-0140 2013-02-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952911752 Jeff Woohyeok Chang Dentist 964 Ajax Street, Jacksonville, FL 32212 2020-08-06
1518484427 Amy Kathryn Lee Student in an Organized Health Care Education/Training Program Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 2017-08-23
1659827970 Noah Fixelle Dentist Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 2016-08-28
1972953339 Colin Kenneth Kelly General Practice Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 2016-06-16
1912382359 Caitlyn Brooke Hoysock Dentist 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 2015-07-28
1285017418 John Alexander Ruch Dentist 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 2015-07-07
1407238561 Amanda Mona Lau Student in an Organized Health Care Education/Training Program 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 2015-06-25
1063894715 Heather Dehaan Family Medicine 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 2015-06-18
1912389677 Catherine Garcia Student in an Organized Health Care Education/Training Program 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 2015-06-18
1255712675 James Robert Benson Dentist 734 Keily Street, Bumed, Jacksonville, FL 32212 2015-06-11
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639793748 Johnathon T Brewer Military Health Care Provider 100 White St, Jacksonville, NC 28540 2020-06-04
1740803725 Alanna Gonzalez Military Health Care Provider 1453 Lindseys Crossing Dr, Jacksonville, FL 32218-8088 2020-05-25
1538793849 Alberto Kris Cipollone Military Health Care Provider Bon Homme Richard Ave Bldg 2480, Jacksonville, FL 32246-0046 2020-02-25
1376175794 James Ernest Claypool Military Health Care Provider 12411 Glenn Hollow Dr, Jacksonville, FL 32226-2349 2020-02-05
1316584543 Christina Koch Military Health Care Provider 104 Eagle River Ct, Jacksonville, NC 28540-7745 2019-12-06
1174043244 Jason Waters Military Health Care Provider White St, Bldg As-100, Jacksonville, NC 28540 2017-06-21
1023546108 Gregory Donald Willden Military Health Care Provider Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 2017-06-01
1285179077 Bill Lee Todd Davis Military Health Care Provider 1151 Murrill Hill Rd, Jacksonville, NC 28540-8662 2017-01-03
1235681545 Huriel A Rivera Aponte Military Health Care Provider Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 2016-11-03
1659727444 Michael Phoenix Mcfarland Military Health Care Provider 898 Enterprise St Unit A, Jacksonville, FL 32227-1202 2016-05-11
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32212

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Dataset Information

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.

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