BAPTIST CARDIOLOGY, INC. (NPI# 1790743854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790743854 |
| Entity Type | Organization |
| Organization Name | BAPTIST CARDIOLOGY, INC. |
| Other Organization Name | BAPTIST HEART SPECIALISTS |
| Practice Address |
1905 Corporate Square Blvd Jacksonville FL 32216-1940 |
| Practice Telephone | 9047200599 |
| Practice Fax Number | 9047205225 |
| Mailing Telephone | 9047200799 |
| Mailing Fax Number | 9047205225 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2012-05-17 |
| Authorized Official Name | MARK MASTERS (CAO) |
| Authorized Official Telephone | 9047200799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 374770100 | 05 |
| Other Name | Type Code |
|---|---|
| Baptist Heart Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376803155 | Baptist Cardiology, Inc. | Sleep Specialist, PhD | 6930 Bonneval Rd, Jacksonville, FL 32216-6084 | 2012-05-25 |
| 1790051845 | Baptist Cardiology, Inc. | Internal Medicine | 14546 Old Saint Augustine Rd, Suite 103, Jacksonville, FL 32258-5468 | 2012-03-22 |
| 1235403221 | Baptist Cardiology, Inc. | Internal Medicine | 11513 N Main St, Jacksonville, FL 32218-4002 | 2012-03-08 |
| 1073886065 | Baptist Cardiology, Inc. | Internal Medicine | 1340 S 18th St, Building A, Suite 202, Fernandina Beach, FL 32034-4799 | 2012-02-22 |
| 1831462829 | Baptist Cardiology, Inc. | Internal Medicine | 14534 Old Saint Augustine Rd Ste 3420, Jacksonville, FL 32258-2616 | 2012-02-22 |
| 1619240603 | Baptist Cardiology, Inc. | Internal Medicine | 3225 University Blvd S Ste 104, Jacksonville, FL 32216-2757 | 2012-02-22 |
| 1457624447 | Baptist Cardiology, Inc. | Internal Medicine | 11236 Baptist Health Dr Ste 310, Jacksonville, FL 32218-2989 | 2012-02-22 |
| 1285907311 | Baptist Cardiology, Inc. | Internal Medicine | 836 Prudential Dr, Suite 1700, Jacksonville, FL 32207-8334 | 2012-02-21 |
| 1588937619 | Baptist Cardiology, Inc. | Internal Medicine | 820 Prudential Dr, Suite 112, Jacksonville, FL 32207-8210 | 2012-02-21 |
| 1326311465 | Baptist Cardiology, Inc. | Internal Medicine | 1361 13th Ave S, Suite 270, Jacksonville Beach, FL 32250-3233 | 2012-02-21 |
| Street Address |
1905 CORPORATE SQUARE BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295156297 | Mary Leen | Nurse Practitioner | 1905 Corporate Square Blvd, Jacksonville, FL 32216-1940 | 2013-12-18 |
| 1962833640 | Baptist Cardiology Inc | Internal Medicine | 1905 Corporate Square Blvd, Jacksonville, FL 32216-1940 | 2013-12-06 |
| 1316905532 | Mark Masters | Psychologist | 1905 Corporate Square Blvd, Jacksonville, FL 32216-1940 | 2006-05-04 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1598182552 | Maedeh Ganji | Internal Medicine | 653 W 8th St # L-18, Jacksonville, FL 32209-6511 | 2014-03-27 |
| 1649696691 | Carolinaeast Physicians | Internal Medicine | 4725 Western Blvd, Jacksonville, NC 28546-6852 | 2014-03-14 |
| 1093151888 | Alejandro Pena Jr. | Internal Medicine | 14546 Old St Augustine Rd Suite 201, Jacksonville, FL 32258-2612 | 2013-05-20 |
| 1669696407 | Ruple Jayantilal Galani | Internal Medicine | 14546 Old Saint Augustine Rd Ste 103, Credentialing Department, Jacksonville, FL 32258-5469 | 2007-04-12 |
| 1154408656 | Heart Clinic of Jacksonville, LLC | Internal Medicine | 9551 Baymeadows Rd Ste 6, Jacksonville, FL 32256-7938 | 2006-11-01 |
| 1487757092 | Cardiovascular Associates of Jacksonville Pa | Internal Medicine | 3599 University Blvd South, Suite 913, Jacksonville, FL 32216-4269 | 2006-09-07 |
| 1316958838 | Valerie Mcnee | Internal Medicine | 1 Red Fox Ln, Jacksonville, AR 72076-2513 | 2006-08-10 |
| 1306895438 | Diagnostic Cardiology Pa | Internal Medicine | 6867 South Point Drive N, Suite 111, Jacksonville, FL 32216-8005 | 2006-05-08 |
| 1386601896 | James C Campbell | Internal Medicine | 3225 University Blvd S Ste 104, Credentialing Department, Jacksonville, FL 32216-2757 | 2006-04-27 |
| 1184680985 | Paul H Dillahunt II | Internal Medicine | 820 Prudential Dr Ste 112, Credentialing Department, Jacksonville, FL 32207-8204 | 2006-04-21 |
| 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.