DR. JOHN G. BORDELON (NPI# 1881655207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881655207 |
| Entity Type | Individual |
| Full Name | DR. JOHN G. BORDELON |
| Credential | MD |
| Practice Address |
1577 Roberts Drive Suite #323 Jacksonville Beach FL 32250 |
| Mailing Address |
1577 Roberts Drive Suite #323 Jacksonville Beach FL 32250 |
| Practice Telephone | 9042419775 |
| Practice Fax Number | 9042493638 |
| Mailing Telephone | 9042419775 |
| Mailing Fax Number | 9042493638 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME59137 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 252394900 | 05 |
| Street Address |
1577 ROBERTS DRIVE SUITE #323 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558538744 | Kristin Burns Caldow | Obstetrics & Gynecology | 390 16th Ave S, Jacksonville Beach, FL 32250-4961 | 2008-05-15 |
| 1245369099 | James V O'leary | Obstetrics & Gynecology | 1361 13th Ave S Ste &110&115, Jacksonville Beach, FL 32250-3233 | 2007-03-05 |
| 1336101138 | Leandro I Rodriguez | Obstetrics & Gynecology | 1577 Roberts Drive, Suite #323, Jacksonville Beach, FL 32250 | 2006-04-05 |
| 1881656718 | Elizabeth Morgan Walsh | Obstetrics & Gynecology | 1361 13th Ave S Ste 110&190, Jacksonville Beach, FL 32250-3233 | 2006-04-05 |
| 1841251949 | Samuel A. Christian | Obstetrics & Gynecology | 1370 13th Avenue, South, Suite 118, Jacksonville Beach, FL 32250-3206 | 2006-03-29 |
| 1801240759 | Anita Patel | Obstetrics & Gynecology | 1577 Roberts Dr Ste 323, Jacksonville Beach, FL 32250-3266 | 2016-04-18 |
| 1700299468 | Kimberly S Manek | Obstetrics & Gynecology | 1577 Roberts Dr Ste 323, Jacksonville Beach, FL 32250-3266 | 2014-06-10 |
| 1790721140 | Rebekah M. Richmond | Obstetrics & Gynecology | 1577 Roberts Drive, Suite #323, Jacksonville Beach, FL 32250 | 2006-06-22 |
| 1760426340 | Frank R Collier Sr. | Obstetrics & Gynecology | 1522 Penman Rd, Jacksonville Beach, FL 32250-3744 | 2006-06-15 |
| 1114977188 | Christina Stough Adams | Obstetrics & Gynecology | 1361 13th Ave S Ste 190&110, Jacksonville Beach, FL 32250-3233 | 2006-05-11 |
| Find all providers in JACKSONVILLE BEACH | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on DR. JOHN G. BORDELON.
| 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.