DR. KENNETH E NIXON (NPI# 1851345714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851345714 |
| Entity Type | Individual |
| Full Name | DR. KENNETH E NIXON |
| Credential | MD |
| Practice Address |
1760 Edgewood Ave W Jacksonville FL 32208-7209 |
| Mailing Address |
515 W 6th St Mc #24 Jacksonville FL 32206-4324 |
| Practice Telephone | 9042531030 |
| Practice Fax Number | 9049241773 |
| Mailing Telephone | 9046652410 |
| Mailing Fax Number | 9046303316 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2009-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME48038 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 271082000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679571939 | Kenneth H. Nixon | Podiatrist | 4495 Darrow Rd, Stow, OH 44224-1854 | 2005-07-11 |
| 1720052566 | Kenneth Wayne Nixon | Family Medicine | 18780 Interstate 20, Canton, TX 75103-3593 | 2006-02-16 |
| Street Address |
1760 EDGEWOOD AVE W |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32208-7209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568426302 | Willie A Pennick | Family Medicine | 1760 Edgewood Ave W, Suite B, Jacksonville, FL 32208-7209 | 2006-04-17 |
| 1720444557 | Elite Ankle and Foot LLC | Podiatrist | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2016-01-09 |
| 1699020446 | Fl Department of Health | Public Health or Welfare | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2012-07-18 |
| 1205109410 | Danna Charlene Morris | Nurse Practitioner | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2012-02-17 |
| 1730402975 | Dedrick Michelle Daniels | Podiatrist | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2010-03-02 |
| 1861661506 | Doris Marie Chance | Physician Assistant | 1760 Edgewood Ave W, B, Jacksonville, FL 32208-7209 | 2008-02-27 |
| 1215059829 | Linda Lou Tisdale | Nurse Practitioner | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2007-04-04 |
| 1013006691 | Maria Susan Martinez | Social Worker | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2006-10-12 |
| 1811941677 | James L Gentry | Pediatrics | 1760 Edgewood Ave W, Jacksonville, FL 32208-7209 | 2006-05-19 |
| 1194789958 | Pennic, Wooten& Associates Family Medical Care Pa | Family Medicine | 1760 Edgewood Ave W, B, Jacksonville, FL 32208-7209 | 2006-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845379 | Lameka Williams | Adult Companion | 6854 Cartier Cir, Jacksonville, FL 32208 | 2020-09-15 |
| 1386173722 | Danielle Mathews | Home Health | 6824 Barberie St., Jacksonville, FL 32208 | 2017-06-08 |
| 1063957520 | Crystal Tramaine Simmons | Licensed Practical Nurse | 3190 Sedona Trl, Jacksonville, FL 32208 | 2016-12-19 |
| 1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
| 1093176828 | Stephanie Fears | Chore Provider | 5910 Droad St, Jacksonville, FL 32208 | 2016-03-07 |
| 1841676558 | Elizabeth Ann Miller | Social Worker | 1255 Lila Ave, Jacksonville, FL 32208 | 2015-08-04 |
| 1861877698 | Sara Castro | Counselor | 1110 Edgewood Ave West, Jacksonville, FL 32208 | 2015-07-22 |
| 1215352703 | Luther Quarles Iv | Family Medicine | 1760 Edgewood Ave W Ste A&b, Jacksonville, FL 32208 | 2014-02-20 |
| 1356776348 | Top of The Line Mobile Service | Durable Medical Equipment & Medical Supplies | 2252 4th Avenue, Jacksonville, FL 32208 | 2013-09-09 |
| 1437419124 | Carmelita Patrice Rowell | Specialist | 2255 Soutel Dr, Jacksonville, FL 32208 | 2012-05-29 |
| Find all providers in zip 32208 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676186 | Sarah Colleen Tapscott | Family Medicine | 1908 Mill Creek Rd, Jacksonville, FL 32211-5052 | 2020-07-20 |
| 1790303170 | Samantha L Scott | Family Medicine | 516 Pierce Ln, Jacksonville, TX 75766-4546 | 2020-07-11 |
| 1689298689 | Meridian Spine and Joint, Inc | Family Medicine | 9770 Old Baymeadows Rd Ste 139, Jacksonville, FL 32256-7986 | 2020-06-04 |
| 1154942563 | Families First Medical Group | Family Medicine | 12086 Fort Caroline Rd Ste 103, Jacksonville, FL 32225-2688 | 2020-04-27 |
| 1598396392 | Pareto Population Health Management Practice Pllc | Family Medicine | 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 | 2020-01-30 |
| 1942862206 | Cindy S Wright Do Pllc | Family Medicine | 12627 San Jose Blvd Ste 902, Jacksonville, FL 32223-8645 | 2019-07-07 |
| 1942868377 | Pain Spine & Wellness LLC | Family Medicine | 9770 Old Baymeadows Rd Ste 141, Jacksonville, FL 32256-7986 | 2019-05-31 |
| 1669035705 | Kathy Jo Daniels | Family Medicine | 10457 Wellington Springs Way, Jacksonville, FL 32221-1175 | 2019-04-15 |
| 1821579103 | Tiffany N Major | Family Medicine | 5194 Johnson Creek Dr, Jacksonville, FL 32218-9308 | 2018-08-24 |
| 1568987360 | Main Street Health LLC | Family Medicine | 2 Shircliff Way Ste 620, Jacksonville, FL 32204-4762 | 2017-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32208 |
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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.