Jack E Giddings (NPI# 1083781967, PAC ID# 2466467956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083781967 |
| PAC ID by PECOS | 2466467956 |
| Professional Enrollment ID | I20060221000333 |
| Full Name | Jack E Giddings |
| Organization Legal Name | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| Address |
1731 University Blvd S Jacksonville FL 32216-8928 |
| Phone Number | 9047250200 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1961 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8820003411 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1731 University Blvd S, Jacksonville, FL 32216-8928 | 9047250200 | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Kashmer | General Surgery | Memorial Family Practice Associates, LLC | 4711 Hwy 17 S, Suite B1, Orange Park, FL 32003-8251 |
| Elizabeth Jahjah | Nurse Practitioner | Memorial Family Practice Associates, LLC | 1205 Monument Rd, Suite 203, Jacksonville, FL 32225-6482 |
| Lateya Foxx | Neuropsychiatry | Memorial Family Practice Associates, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Aino E Mueller | Family Medicine | Memorial Family Practice Associates, LLC | 2755 Blanding Blvd, Suite 109, Middleburg, FL 32068-5629 |
| Denver D Nutter | Family Medicine | Memorial Family Practice Associates, LLC | 6111 Beach Blvd, Jacksonville, FL 32216-2751 |
| Jaya L Krishna | Family Medicine | Memorial Family Practice Associates, LLC | 8837 Goodbys Executive Dr, Jacksonville, FL 32217-4605 |
| Angel J Torres | Physician Assistant | Memorial Family Practice Associates, LLC | 1594 Kingsley Ave, Orange Park, FL 32073-4546 |
| John D Deperi | General Surgery | Memorial Family Practice Associates, LLC | 3625 Univ Blvd S, Jacksonville, FL 32216-4207 |
| Janet F Underkofler | Physician Assistant | Memorial Family Practice Associates, LLC | 4689 Hwy 17, Suite 14, Fleming Island, FL 32003-4831 |
| Luna I Khadour | Family Medicine | Memorial Family Practice Associates, LLC | 12276 San Jose Blvd, Suite 401, Jacksonville, FL 32223-8660 |
| Street Address |
1731 UNIVERSITY BLVD S |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32216-8928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas A Michelsen | Family Medicine | Memorial Family Practice Associates, LLC | 1731 University Blvd S, Jacksonville, FL 32216-8928 |
| Neirouz B Joseph | Family Medicine | Memorial Family Practice Associates, LLC | 1731 University Blvd S, Jacksonville, FL 32216-8928 |
| Cesar Ian K Aguirre | Family Medicine | Memorial Family Practice Associates, LLC | 1731 University Blvd S, Jacksonville, FL 32216-8928 |
| Marta Klisinska | Internal Medicine | Memorial Family Practice Associates, LLC | 1731 University Blvd S, Jacksonville, FL 32216-8928 |
| Paul Salzer | Nurse Practitioner | Memorial Family Practice Associates, LLC | 1731 University Blvd S, Jacksonville, FL 32216-8928 |
| Guy T Selander | Family Medicine | Memorial Family Practice Associates, LLC | 1731 University Blvd S, Jacksonville, FL 32216-8928 |
| Napoleon G Depadua | Family Practice | Memorial Family Practice Associates, LLC | 1731 University Blvd S, Jacksonville, FL 32216-8928 |
| Hormozji Khosravi | Obstetrics/gynecology | Memorial Family Practice Associates, LLC | 1731 University Blvd S, Jacksonville, FL 32216-8928 |
| Michael S Drucker | Family Practice | Memorial Family Practice Associates, LLC | 1731 University Blvd S, Jacksonville, FL 32216-8928 |
| Kristine H Thompson | Nurse Practitioner | Memorial Family Practice Associates, LLC | 1731 University Blvd S, Jacksonville, FL 32216-8928 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eula B Kovacs | Clinical Social Worker | 7035 Phillips Hwy, Suite 38, Jacksonville, FL 32216 | |
| Rebecca K Reza | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Jessica Lynn Burkett | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Diana C Maccario | Family Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Vonda Marie Love | Nurse Practitioner | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| John Paul Guercio | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Guilad Pribluda | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Bhavesh S Patel | Internal Medicine | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Arnel Larcia | Internal Medicine | Rmed LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Kelly Bingham Traylor | Nurse Practitioner | Iah of Florida, LLC | 4348 Southpoint Blvd, Suite 100, Jacksonville, FL 32216-0903 |
| Find all physicians in zip 32216 | |||
| City | JACKSONVILLE |
| Zip Code | 32216 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSONVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jack E Giddings.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.