MARK MCINTURFF


Address: 554 Keily Street, Jacksonville, FL 32212
Phone: 7579537550

MARK MCINTURFF (NPI# 1861835977) 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) 1861835977
Entity Type Individual
Full Name MARK MCINTURFF
Practice Address 554 Keily Street
Jacksonville
FL 32212
Practice Telephone 7579537550
Practice Fax Number 7579537560
Mailing Telephone 7579537550
Mailing Fax Number 7579537560
Enumeration Date 2013-04-09
Last Update Date 2018-06-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
MD17924 HI Allopathic & Osteopathic Physicians

Office Location

Street Address 554 KEILY STREET
City JACKSONVILLE
State FL
Zip Code 32212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326019373 Brian G Norwood Pediatrics 554 Keily Street, Jacksonville, FL 32212 2006-01-29
1811461726 Yocelin Hernandez Rojero Occupational Therapist 554 Keily Street, Jacksonville Fl 32212, Jacksonville, FL 32212 2019-01-14
1609381235 Miranda Shilelagh Schmidt Physician Assistant 554 Keily Street, Jacksonville, FL 32212 2017-12-05
1144733627 Tylisha Elyse Deshields Social Worker 554 Keily Street, Jacksonville, FL 32212 2017-11-07
1326557976 David Michael Tatera Psychologist 554 Keily Street, Jacksonville, FL 32212 2017-09-27
1104335348 Kuang-hui Lee General Practice 554 Keily Street, Jacksonville, FL 32212 2017-09-20
1548788177 Sophia Renee Beal Speech-Language Pathologist 554 Keily Street, Jacksonville, FL 32212 2017-09-04
1164949418 George S Bennitt Dentist 554 Keily Street, Jacksonville, FL 32212-4047 2017-08-28
1124545389 David Phillips Student in an Organized Health Care Education/Training Program 554 Keily Street, Centralized Credential and Privileging Directorate, Jacksonville, FL 32212-2466 2017-08-28
1902323652 Erich Chen Student in an Organized Health Care Education/Training Program 554 Keily Street, Jacksonville, FL 32212 2017-08-24
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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 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437382173 Janese A Trimaldi Pathology 2020 Dunsford Ter Apt 2, Jacksonville, FL 32207-4397 2009-08-28
1245435155 Robert Thomas Williams Pathology 193 Belmont Dr, Jacksonville, FL 32259-8871 2007-06-19
1932260395 Elaine Salazar Pathology 12213 Gehrig Dr, Jacksonville, FL 32224-4630 2006-12-12
1023179470 Amir Mohammadi Pathology 11156 Wyndham Hollow Ln, Jacksonville, FL 32246-8480 2006-12-12
1104833631 Mark Stephan Dolz Pathology 1600 W Walnut, Passavant Area Hospital - Laboratory, Jacksonville, IL 62650 2006-08-01
1063466514 Jimmy B Harkins Md Pathology 501 South Ragsdale, Jacksonville, TX 75766 2006-05-20
1760440481 Sumra Rathore Pathology 5008 Mustang Rd, Jacksonville, FL 32216-6028 2006-05-02
1033115761 Anuradha Arcot Pathology 317 Western Blvd, Department of Pathology, Jacksonville, NC 28546-6338 2005-06-27
1558819318 Ramila Amre Pathology 800 Prudential Dr, Jacksonville, FL 32207-8202 2016-09-21
1396198149 Amal Mohammed M Shukri Pathology 655 W 8th St, Jacksonville, FL 32209-6511 2016-07-18
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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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