BAPTIST MD ANDERSON CANCER PHYSICIANS INC NPI 1083153365

NPI Information

NPI: 1083153365
Provider Name: BAPTIST MD ANDERSON CANCER PHYSICIANS INC

Doing Business As: BAPTIST MD ANDERSON CANCER PHYSICIANS

Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
14540 OLD SAINT AUGUSTINE RD
SUITE 2593
JACKSONVILLE, FL
ZIP 32258
Phone: (904) 389-3993
Get Directions

BAPTIST MD ANDERSON CANCER PHYSICIANS INC is a gynecologic oncology obstetrics gynecology in Jacksonville, FL. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. BAPTIST MD ANDERSON CANCER PHYSICIANS INC NPI is 1083153365. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Baptist Md Anderson Cancer Physicians.

The provider's business location address is:

14540 OLD SAINT AUGUSTINE RD
SUITE 2593
JACKSONVILLE, FL
ZIP 32258-418
Phone: (904) 389-3993
Fax: (904) 389-3994

The provider's authorized official is Leeann Mengel .
The authorized official title is Administrator and has the following contact phone number (904) 202-7300.

The CLIA number assigned to this NPI record is 10D1034368 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/20/2017 and was last updated on 4/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology		FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	009942200	MEDICAID	FLORIDA
2	DU3570	OTHER	FLORIDA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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