James C Whited Jr. (NPI# 1457668618, PAC ID# 4385817659) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457668618 |
| PAC ID by PECOS | 4385817659 |
| Professional Enrollment ID | I20111101000712 |
| Full Name | James C Whited Jr. |
| Address |
1080 Edgewood Ave S Suite 7 Alaric Health Beauty and Wellness Inc Jacksonville FL 32205-5379 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 1080 Edgewood Ave S, Suite 7 Alaric Health Beauty and Wellness Inc, Jacksonville, FL 32205-5379 |
| Street Address |
1080 EDGEWOOD AVE S SUITE 7 ALARIC HEALTH BEAUTY AND WELLNESS INC |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32205-5379 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Daniel Knabb | Psychologist, Clinical | 3955 Riverside Ave, Suite 103, Jacksonville, FL 32205-3312 | |
| Anthony Favale Ii | Optometry | 953 Lane S Ave, Jacksonville, FL 32205-4706 | |
| David J Cowin | Orthopedic Surgery | Sea Spine Orthopedic Institute LLC | 949 Lane Ave S, Jacksonville, FL 32205-4706 |
| Ronald B Joseph | Orthopedic Surgery | Sea Spine Orthopedic Institute LLC | 949 Lane Ave S, Jacksonville, FL 32205-4706 |
| Quincy A Scarborough | Family Medicine | Baptist Primary Care Inc | 810 Lane S Ave, Jacksonville, FL 32205-4785 |
| Gregory Mchugh | Family Medicine | Baptist Primary Care Inc | 810 Lane S Ave, Jacksonville, FL 32205-4785 |
| Mark A Stich | Family Medicine | Baptist Primary Care Inc | 810 Lane S Ave, Jacksonville, FL 32205-4785 |
| Matthew T Braddock | Family Medicine | Baptist Primary Care Inc | 810 Lane S Ave, Jacksonville, FL 32205-4785 |
| Herman J Downey | Family Medicine | Baptist Primary Care Inc | 810 Lane S Ave, Jacksonville, FL 32205-4785 |
| Emmanuel T Miel | Family Medicine | Baptist Primary Care Inc | 810 Lane S Ave, Jacksonville, FL 32205-4785 |
| Find all physicians in zip 32205 | |||
| City | JACKSONVILLE |
| Zip Code | 32205 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSONVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on James C Whited Jr..
| 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.