DR. DONALD JACOCKS LEVINE


Address: 1400 Bishop Estates Rd, Credentialing Department, Jacksonville, FL 32259-4244
Phone: 9042872794

DR. DONALD JACOCKS LEVINE (NPI# 1982673745) 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) 1982673745
Entity Type Individual
Full Name DR. DONALD JACOCKS LEVINE
Credential M.D.
Practice Address 1400 Bishop Estates Rd
Credentialing Department
Jacksonville
FL 32259-4244
Mailing Address Po Box 45443
Salt Lake City
UT 84145-0443
Practice Telephone 9042872794
Practice Fax Number 9042875362
Mailing Telephone 9042021032
Mailing Fax Number 9043764107
Enumeration Date 2006-03-15
Last Update Date 2018-12-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine ME0069268 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL RR MEDICARE P00469532 01

Other Providers DONALD LEVINE

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1801080338 Donald Levine Counselor 2208 San Leandro Blvd, San Leandro, CA 94577-5957 2007-08-28
1538287628 Donald M Levine Psychologist 203 West 86th Street, Suite 810, New York, NY 10024-3348 2007-03-27
1982788188 Donald Todd Levine Specialist 75 N Broadway, Nyack, NY 10960-2624 2006-10-24
1447212402 Donald H Levine Physical Therapist 1181 Aquidneck Ave, Olympic Physical Therapy, Middletown, RI 02842 2006-04-05

Office Location

Street Address 1400 BISHOP ESTATES RD
CREDENTIALING DEPARTMENT
City JACKSONVILLE
State FL
Zip Code 32259-4244

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194796813 Jaime Lyn Kibler-mccormick Family Medicine 1400 Bishop Estates Rd, Credentialing Department, Jacksonville, FL 32259-4244 2006-01-30
1790223386 Raquel Perez Nurse Practitioner 1400 Bishop Estates Rd, Jacksonville, FL 32259 2017-02-03
1730430893 Nineveh A Mcintosh Physician Assistant 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 2012-09-28
1669653622 Baptist Primary Care Inc Family Medicine 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 2007-11-19
1629195300 Fruit Cove Family Medicine P A Family Medicine 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 2007-03-26
1164592218 Medical Diagnostic Center of Jacksonville Radiology 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 2006-11-08
1821167065 Carol Ann-marie Noell Physician Assistant 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 2006-11-06
1861404899 Nicole Elaine Fifer Physician Assistant 1400 Bishop Estates Rd, Jacksonville, FL 32259-4244 2006-08-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659904571 Ayla Rose Yarbrough Chiropractor 1620 County Road 210, St. Johns County, FL 32259 2020-02-19
1831731009 Andrew Dacunha, Dmd, Pa Dentist 71 Doctors Village Drive, Suite 303, Saint Johns, FL 32259 2019-10-09
1801446257 Mary Alice Taylor Counselor 213 Trapper Trace Ct., St. Johns, FL 32259 2019-09-18
1609425826 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 155 Bartram Park Drive, Suite 100, St. Johns, FL 32259 2019-09-10
1518438936 Yazji Pediatric Care Pediatrics 4125 Race Track Rd, Suite Number 104, Saint Johns, FL 32259 2018-12-11
1003328022 Abundant Life Health Center LLC Chiropractor 254 Everest Lane, St. Johns, FL 32259 2017-10-31
1356863732 Jennifer Eberhard Nurse Practitioner 335 Oxford Estates Way, Saint Johns, FL 32259 2017-07-07
1366986861 Taylor Leard Physician Assistant 2001 County Rd 210, Suite 101, St. Johns, FL 32259 2016-12-19
1043760390 Comfortable Care Dental Health Professionals, Pa Dentist 2532 Race Track Rd, Saint Johns, FL 32259 2016-10-11
1598114233 Bright Smiles Pediatric Dentistry, Pllc Dentist 196 Everest Ln Unit 1, Saint Johns, FL 32259 2016-06-03
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City JACKSONVILLE
Zip Code 32259

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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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