OSAMA KHALED HADDAD (NPI# 1932560745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932560745 |
| Entity Type | Individual |
| Full Name | OSAMA KHALED HADDAD |
| Credential | M.D |
| Practice Address |
4500 San Pablo Rd S Jacksonville FL 32224-1865 |
| Practice Telephone | 3176662346 |
| Mailing Telephone | 9049532000 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | ME140323 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4500 SAN PABLO RD S |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224-1865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799136 | Richard Clarke Agnew | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-06-01 |
| 1427657964 | Brianna Iannarelli | Nurse Anesthetist, Certified Registered | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-24 |
| 1538768981 | Heather Anne Dahlen | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-17 |
| 1578161717 | Szilvia Fortner | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-10-10 |
| 1265049464 | Carolyn Gonzalez | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-09-30 |
| 1467065748 | Ifeloluwa A Olutola | Family Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-26 |
| 1366055568 | Krina Dipak Vyas | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-26 |
| 1356954911 | Haleigh Diane Shelton | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-24 |
| 1215548805 | Victoria Zeilinger Reams | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-16 |
| 1558971382 | Rachel Marie Hannon | Nurse Practitioner | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972938462 | Kristopher Croome | Transplant Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2013-09-04 |
| 1922230713 | Shennen Ashley Mao | Transplant Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224 | 2009-08-13 |
| 1588824858 | University of Florida Jacksonville Physicians Inc | Transplant Surgery | 655 W 8th St, Ufjp Surgery, Jacksonville, FL 32209-6511 | 2008-06-11 |
| 1780712042 | Justin Burns | Transplant Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2007-03-01 |
| 1235220989 | Dana Perry | Transplant Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063936854 | Vighnesh Vetrivel Venkatasamy | Transplant Surgery | Miami Transplant Institute, Jackson Memorial Hospital, 1611 Nw 12 Avenue, Miami, FL 33136 | 2017-08-02 |
| 1366825408 | Narendra Battula | Transplant Surgery | 1600 Sw Archer Rd # 100118, Gainesville, FL 32610-2429 | 2015-07-07 |
| 1457639528 | Rupak Dilip Kulkarni | Transplant Surgery | Division of Transplantation Dept of Surgery, Uf College of Medicine,1600 Sw Archer Rd, Gainesville, FL 32610-0118 | 2011-07-23 |
| 1073765574 | Emmanouil Palaios | Transplant Surgery | 1600 S Andrews Ave Fl 1, West Wing, Ft Lauderdale, FL 33316-2510 | 2008-10-15 |
| 1659546281 | Lynsey Allen Biondi | Transplant Surgery | 13685 Doctors Way Ste 330, Fort Myers, FL 33912-4347 | 2008-04-24 |
| 1811185135 | Ali Zarrinpar | Transplant Surgery | 1600 Sw Archer Rd Dept Of, Gainesville, FL 32610-8358 | 2007-10-11 |
| 1063629046 | Lawrence Joel Shapiro | Transplant Surgery | 4981 W Atlantic Ave, Delray Beach, FL 33445-3850 | 2007-05-17 |
| 1225191703 | Juan D Arenas | Transplant Surgery | 1150 N 35th Ave Ste 390, Hollywood, FL 33021 | 2006-12-18 |
| 1487727376 | Thanh Hang Khac Nguyen | Transplant Surgery | 580 S. Habana Ave., Suite 380, Tampa, FL 33609 | 2006-11-16 |
| 1528148905 | Florida Heart Lung & Transplant Surgery P L | Transplant Surgery | 4 Columbia Dr Ste 210, Tampa, FL 33606-3500 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
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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.