DR. SUPRITH BADARINATH (NPI# 1972508356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972508356 |
| Entity Type | Individual |
| Full Name | DR. SUPRITH BADARINATH |
| Credential | MD |
| Practice Address |
2 Shircliff Way Ste 800 Jacksonville FL 32204-4751 |
| Mailing Address |
7015 Ac Skinner Parkway Suite 1 Jacksonville FL 32256 |
| Practice Telephone | 9043882619 |
| Practice Fax Number | 9043880240 |
| Mailing Telephone | 9043632113 |
| Mailing Fax Number | 9043632606 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2013-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME 80727 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 258495600 | 05 | |
| GA | 664397753B | 05 | |
| FL | AVMED | 272016 | 01 |
| FL | BCBS | 35709 | 01 |
| FL | AETNA | 7233148 | 01 |
| Street Address |
2 SHIRCLIFF WAY STE 800 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841656105 | Rita Marie Border | Nurse Practitioner | 2 Shircliff Way, #300, Jacksonville, FL 32204-4753 | 2016-01-01 |
| 1295128817 | Alexandra Eleanor Michaelis | Nurse Practitioner | 2 Shircliff Way, Suite 700 Depaul Bldg., Jacksonville, FL 32204-4763 | 2015-03-05 |
| 1538558028 | Carole Faria | Registered Nurse | 2 Shircliff Way, Suite 900, Jacksonville, FL 32204-4753 | 2015-01-21 |
| 1609265107 | Teresa Braddy | Registered Nurse | 2 Shircliff Way, Suite 900, Jacksonville, FL 32204-4753 | 2015-01-21 |
| 1235533829 | Heekin Clinic LLC | Orthopaedic Surgery | 2 Shircliff Way, Ste 605 Depaul Building, Jacksonville, FL 32204-4753 | 2014-10-10 |
| 1851710404 | Juan Chique Figueroa | Internal Medicine | 2 Shircliff Way, Suite 700 Depaul Bldg., Jacksonville, FL 32204 | 2014-04-10 |
| 1295151348 | Harris, Wilcox & Donovan Pa | Ophthalmology | 2 Shircliff Way, Suite 120, Jacksonville, FL 32204-4753 | 2014-03-13 |
| 1568800613 | Sara Marie Preston | Nurse Practitioner | 2 Shircliff Way, Ste 700 Depaul Bldg., Jacksonville, FL 32204-4763 | 2013-06-11 |
| 1851735187 | Lori Elizabeth Jones-taylor | Pharmacist | 2 Shircliff Way, Jacksonville, FL 32204-4753 | 2013-04-17 |
| 1306198908 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 2 Shircliff Way, Suite 800, Jacksonville, FL 32204-4753 | 2012-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760818959 | Talha Badar | Internal Medicine | 4500 San Pablo Rd S # X, Jacksonville, FL 32224-1865 | 2013-09-19 |
| 1952621237 | Harvey B Sher | Internal Medicine | 2742 Beauclerc Rd, Jacksonville, FL 32257-5602 | 2010-06-09 |
| 1548426703 | Ewa M Wysokinska | Internal Medicine | 4500 San Pablo Rd S Fl 3222, Jacksonville, FL 32224-1865 | 2008-08-06 |
| 1750598363 | Sridhar Srinivasan | Internal Medicine | 14546 Old Saint Augustine Rd Ste 100, Jacksonville, FL 32258-5468 | 2007-05-16 |
| 1891878146 | Miten R Patel | Internal Medicine | 7015 Ac Skinner Parkway, Building 100, Jacksonville, FLORIDA 32256-6932 | 2006-10-23 |
| 1831122035 | Shonda Michelle Asaad | Internal Medicine | 239 Station St, Jacksonville, NC 28546-6304 | 2006-07-09 |
| 1770535700 | Sahana R Kalmadi | Internal Medicine | 14546 Old Saint Augustine Rd Ste 317, Jacksonville, FL 32258-5472 | 2006-05-17 |
| 1902889959 | Maria J Valente | Internal Medicine | 7015 A C Skinner Pkwy, Bldg 100, Jacksonville, FL 32256-6932 | 2005-11-23 |
| 1124017850 | Lawrence Arthur Solberg Jr. | Internal Medicine | 3827 Coopers Lake Rd, Jacksonville, FL 32224-8436 | 2005-10-15 |
| 1922095884 | Carlos M Castillo | Internal Medicine | 7751 Baymeadows Rd E Ste 205, Jacksonville, FL 32256 | 2005-10-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.