DR. CLIFFORD H SPOHR (NPI# 1811965403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811965403 |
| Entity Type | Individual |
| Full Name | DR. CLIFFORD H SPOHR |
| Credential | MD |
| Practice Address |
14208 Mandarin Rd Jacksonville FL 32223-2548 |
| Practice Telephone | 9045457940 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2015-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
ME31662 | FL | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
ME31662 | FL | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
ME31662 | FL | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
ME31662 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME31662 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME31662 | FL | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
ME31662 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00356287A | 05 | |
| FL | 047722200 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 15430 | 01 |
| FL | PHCS | 300012 | 01 |
| Street Address |
14208 MANDARIN RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32223-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103600 | Karen Gabriela Alexander | Dietitian, Registered | Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 | 2020-01-17 |
| 1891250049 | Thalia L Honea | Occupational Therapist | 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 | 2019-02-01 |
| 1447758289 | Stephanie Ann Murphy | Marriage & Family Therapist | 11543 Halethorpe Drive, Jacksonville, FL 32223 | 2018-01-26 |
| 1861948481 | Nicole Gay | Developmental Therapist | 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 | 2016-09-01 |
| 1740694439 | Robyn K Mizelle | Behavioral Analyst | 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 | 2014-06-20 |
| 1184038010 | Kelli Anne Cabrera | Occupational Therapist | 12350 San Jose Blvd, Jacksonville, FL 32223 | 2014-06-18 |
| 1891031910 | Mandarin Family Medicine, P.a. | Preferred Provider Organization | 12276-210 San Jose Blvd, Jacksonville, FL 32223 | 2012-12-18 |
| 1114201811 | Darshana Choksi | Pharmacist | 3663 Marbon Rd, Jacksonville, FL 32223 | 2011-09-30 |
| 1346539988 | Harris Wilcox and Donovan Pa | Optometrist | 11790 San Jose Bl, Jacksonville, FL 32223 | 2011-04-05 |
| 1740517796 | Beth A. Kelley | Occupational Therapist | 2640 Scott Mill Dr, Jacksonville, FL 32223 | 2009-11-12 |
| Find all providers in zip 32223 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596471 | Summerlin Imaging Center LLC | Radiology | 3550 University Blvd S Ste 102, Jacksonville, FL 32216-4227 | 2019-09-10 |
| 1275038671 | William Austin Forshee | Radiology | 655 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2018-03-27 |
| 1316449267 | F&s Radiology, P.C. | Radiology | 10045 Richton Ct, Jacksonville, FL 32246-1885 | 2018-03-07 |
| 1679025522 | Diagnostic Imaging Partners | Radiology | 2000 Brabham Avenue, Suite 110, Jacksonville, NC 28546 | 2016-10-26 |
| 1689052359 | Coastal Vein & Vascular Institute, LLC | Radiology | 7741 Point Meadows Dr, Unit 104-106, Jacksonville, FL 32256-9182 | 2015-05-13 |
| 1316385024 | Matthew Hal Jenson | Radiology | 655 W 8th St # C-90, Jacksonville, FL 32209-6511 | 2013-06-05 |
| 1740557917 | Rmed LLC | Radiology | 4348 Southpoint Blvd., Suite 100c, Jacksonville, FL 32216-0903 | 2011-11-16 |
| 1952618324 | Edgardo Alberto Agrait-bertran | Radiology | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 | 2010-09-08 |
| 1477788982 | David A Walker Md Pa | Radiology | 8040 Woodpecker Trl, Jacksonville, FL 32256-7333 | 2009-05-28 |
| 1245465343 | Kyle Hayden | Radiology | 1303 Greenridge Rd, Jacksonville, FL 32207-5334 | 2009-05-19 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32223 |
Please comment or provide details below to improve the information on DR. CLIFFORD H SPOHR.
| 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.