JACOB N CLENDENON MD NPI 1093959231

NPI Information

  • NPI: 1093959231
  • Provider Name: JACOB N CLENDENON, MD
  • Classification: Transplant Surgery - 204F00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4500 SAN PABLO RD S
    JACKSONVILLE, FL
    ZIP 32224
  • Phone: (904) 953-2000

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NPI Details

Jacob N Clendenon, MD is a transplant surgery in Jacksonville, FL with 22 years of experience. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee Jacob N Clendenon, MD NPI is 1093959231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224-865
Phone: (904) 953-2000

The NPI 1093959231 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Transplantation of donor kidney (HCPCS:50360)
  • Preparation of donor kidney for transplantation (HCPCS:50323)

The enumeration date for this NPI number is 4/30/2009 and was last updated on 2/17/2021.

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
1204F00000XTransplant SurgeryME145251FLORIDANo
2204F00000XTransplant Surgery56155-20WISCONSINYes

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: 3/30/2025

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