BAPTIST MEDICAL CENTER OF THE BEACHES, INC
NPI 1821155912
General Acute Care Hospital in Jacksonville Beach, FL
Hospital Overall Rating: 4 out of 5 stars
NPI Status: Active since January 02, 2007
Contact Information
1350 13TH AVE S
JACKSONVILLE BEACH, FL
ZIP 32250
Phone: (904) 376-4182
Fax: (904) 376-4280
- Organization
- General Acute Care Hospital
- Accepts Insurance
- CLIA Number: 10D0645124
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About BAPTIST MEDICAL CENTER OF THE BEACHES, INC
Baptist Medical Center Of The Beaches, Inc is a hospital serving the Jacksonville Beach, Florida region. The facility is a general acute care hospital. The NPI number of this hospital is 1821155912 assigned on January 2007. The hospital's primary taxonomy code is 282N00000X with license number 4304 (FL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Philip Boyce (Chief Revenue Officer)
- NPI
- 1821155912
- Provider Name
- BAPTIST MEDICAL CENTER OF THE BEACHES, INC
- Entity Type
- Organization
- Location Address
- 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250
- Location Phone
- (904) 376-4182
- Location Fax
- (904) 376-4280
- Mailing Address
- P O BOX 45058 JACKSONVILLE, FL 32232
- Mailing Phone
- (904) 376-4182
- Mailing Fax
- (904) 376-4280
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-02-2007
- Last Update Date
- 06-02-2022
- Code Navigator
According to the Hospital Compare program data, Baptist Medical Center Of The Beaches, Inc has good overall quality rating based on the hospital's performance on seven separate quality measures including: mortality, safety of care, readmissions, patient experience, effectiveness of care, timeliness of care and efficient use of medical imaging. These quality measures are combined in a weighted average to generate a star rating of 4 out of 5 stars for this provider. The hospital provides emergency services like acute medical care or trauma care.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- License No.
- 4304
- License State
- FL
- Taxonomy Description
- An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 010232600 | MEDICAID (05) | FL | |
| 128 | OTHER (01) | FL | BLUE CROSS PROVIDER NUMBE |
| 00150345A | OTHER (01) | GA | MEDICAID OF GA PROVIDER |
Hospital Compare Quality Information
Star ratings information gives patients a useful way to compare local hospitals by highlighting important quality factors like readmissions, mortality, safety of care, patient experience and timely and effective care. The ratings are presented as stars, ranging from 1 to 5. A higher number of stars indicates better performance in each quality aspect.
-
Overall Quality Rating - 4 out of 5 stars - Good
The overall rating is calculated by taking the weighted average of these group of scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.
Nurse Communication - 3 out of 5 stars - Average
Nurse communication - star rating
Doctor Communication - 4 out of 5 stars - Good
Doctor communication - star rating
Staff Responsiveness - 3 out of 5 stars - Average
Staff responsiveness - star rating
Communication About Medicines - 3 out of 5 stars - Average
Communication about medicines - star rating
Discharge Information - 3 out of 5 stars - Average
Discharge information - star rating
Care Transition - 3 out of 5 stars - Average
Care transition - star rating
Cleanliness - 3 out of 5 stars - Average
Cleanliness - star rating
Quietness - 3 out of 5 stars - Average
Quietness - star rating
Recommend Hospital - 5 out of 5 stars - Excellent
Recommend hospital - star rating
-
Hospital Type Acute Care Hospitals - Voluntary non-profit - Private
-
Emergency Services: Yes
Shows if the hospital provides emergency services like acute medical care or trauma care.
-
Meaningful Use of Electronic Health Records: Y
Shows if the hospital meets the criteria for promoting interoperability of Electronic Health Record Systems (EHRS).
Hospital Complications and Mortality Quality Ratings
CMS Medicare PSI 90: Patient safety and adverse events composite is no different than the national value
Evaluation Period: July 2021 - June 2023
Abdominopelvic accidental puncture or laceration rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Postoperative wound dehiscence rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Postoperative sepsis rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Perioperative pulmonary embolism or deep vein thrombosis rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Postoperative respiratory failure rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Postoperative acute kidney injury requiring dialysis rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Postoperative hemorrhage or hematoma rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
In-hospital fall-associated fracture rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Iatrogenic pneumothorax rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Death rate among surgical inpatients with serious treatable complications is no different than the national rate
Evaluation Period: July 2021 - June 2023
Pressure ulcer rate is no different than the national rate
Evaluation Period: July 2021 - June 2023
Death rate for stroke patients is no different than the national rate
Evaluation Period: July 2020 - June 2023
Death rate for pneumonia patients is no different than the national rate
Evaluation Period: July 2020 - June 2023
Death rate for heart failure patients is no different than the national rate
Evaluation Period: July 2020 - June 2023
Death rate for COPD patients is no different than the national rate
Evaluation Period: July 2020 - June 2023
Death rate for heart attack patients is no different than the national rate
Evaluation Period: July 2020 - June 2023
Rate of complications for hip/knee replacement patients is no different than the national rate
Evaluation Period: July 2020 - March 2023
Hospital Associated Infections Quality Ratings
SSI - Colon Surgery is no different than national benchmark
Evaluation Period: January 2023 - December 2023
SSI - Abdominal Hysterectomy is no different than national benchmark
Evaluation Period: January 2023 - December 2023
MRSA Bacteremia is no different than national benchmark
Evaluation Period: January 2023 - December 2023
Clostridium Difficile (C.Diff) is better than the national benchmark
Evaluation Period: January 2023 - December 2023
Catheter Associated Urinary Tract Infections (ICU + select Wards) is no different than national benchmark
Evaluation Period: January 2023 - December 2023
Central Line Associated Bloodstream Infection (ICU + select Wards) is no different than national benchmark
Evaluation Period: January 2023 - December 2023
Unplanned Hospital Visits Quality Ratings
Hospital return days for heart attack patients is average days per 100 discharges
Evaluation Period: July 2020 - June 2023
Hospital return days for heart failure patients is fewer days than average per 100 discharges
Evaluation Period: July 2020 - June 2023
Hospital return days for pneumonia patients is average days per 100 discharges
Evaluation Period: July 2020 - June 2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) is no different than the national rate
Evaluation Period: January 2020 - December 2022
Rate of inpatient admissions for patients receiving outpatient chemotherapy is number of cases too small
Evaluation Period: January 2022 - December 2022
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy is number of cases too small
Evaluation Period: January 2022 - December 2022
Ratio of unplanned hospital visits after hospital outpatient surgery is no different than expected
Evaluation Period: January 2022 - December 2022
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate is no different than the national rate
Evaluation Period: July 2020 - June 2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients is no different than the national rate
Evaluation Period: July 2020 - June 2023
Heart failure (HF) 30-Day Readmission Rate is no different than the national rate
Evaluation Period: July 2020 - June 2023
Rate of readmission after hip/knee replacement is no different than the national rate
Evaluation Period: July 2020 - June 2023
Rate of readmission after discharge from hospital (hospital-wide) is no different than the national rate
Evaluation Period: July 2022 - June 2023
Pneumonia (PN) 30-Day Readmission Rate is no different than the national rate
Evaluation Period: July 2020 - June 2023
Hospital Maternal Health Quality Ratings
Elective Delivery percentage is 0%
Percentage of mothers whose deliveries were scheduled 1 to 2 weeks early.
Evaluation Period: January 2023 - December 2023Maternal Morbidity Structural Measure: Yes
Assesses whether or not the hospital participates in a Perinatal Quality Improvement Collaborative Initiative.
Evaluation Period: January 2023 - December 2023
Hospital Timely and Effective Care Quality Ratings
Head CT results is not available %
Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival.
Evaluation Period: January 2023 - December 2023Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients is 95 %
Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy.
Evaluation Period: January 2022 - December 2022Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery is not available %
Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery.
Evaluation Period: January 2022 - December 2022ST-Segment Elevation Myocardial Infarction (STEMI) is not available
Evaluation Period: January 2023 - December 2023
Safe Use of Opioids - Concurrent Prescribing is 18
Evaluation Period: January 2023 - December 2023
Appropriate care for severe sepsis and septic shock is 46 %
Severe Sepsis and Septic Shock. Sepsis is a complication that happens when a patient has an extreme response to an infection. Higher percentages are better.
Evaluation Period: January 2023 - December 2023Septic Shock 3-Hour Bundle is 79 %
Septic Shock 3 Hour.
Evaluation Period: January 2023 - December 2023Septic Shock 6-Hour Bundle is 43 %
Severe Sepsis 6 Hour.
Evaluation Period: January 2023 - December 2023Severe Sepsis 3-Hour Bundle is 76
Evaluation Period: January 2023 - December 2023
Severe Sepsis 6-Hour Bundle is 77 %
Septic Shock 6 Hour.
Evaluation Period: January 2023 - December 2023Discharged on Antithrombotic Therapy is 99
Evaluation Period: January 2023 - December 2023
Anticoagulation Therapy for Atrial Fibrillation/Flutter is not available
Evaluation Period: January 2023 - December 2023
Antithrombotic Therapy by End of Hospital Day 2 is 95
Evaluation Period: January 2023 - December 2023
Discharged on Statin Medication is 95
Evaluation Period: January 2023 - December 2023
Venous Thromboembolism Prophylaxis is not available
Evaluation Period: January 2023 - December 2023
Intensive Care Unit Venous Thromboembolism Prophylaxis is not available
Evaluation Period: January 2023 - December 2023
Left before being seen is 2 %
Percentage of patients who left the emergency department before being seen.
Evaluation Period: January 2022 - December 2022Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better is 240 minutes
Average time patients spent in the emergency department before being sent home.
Evaluation Period: January 2023 - December 2023Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better is 193 minutes
Average time patients spent in the emergency department before leaving from the visit.
Evaluation Period: January 2023 - December 2023Healthcare workers given influenza vaccination is 95%
Percentage of healthcare workers given influenza vaccination.
Evaluation Period: October 2023 - March 2024Hospital Harm - Severe Hyperglycemia is not available
Evaluation Period: January 2023 - December 2023
Hospital Harm - Severe Hypoglycemia is not available
Evaluation Period: January 2023 - December 2023
Percentage of healthcare personnel who are up to date with COVID-19 vaccinations is 0%
Percentage of healthcare personnel who completed COVID-19 primary vaccination series.
Evaluation Period: October 2023 - December 2023Admit Decision Time to ED Departure Time for Admitted Patients - psychiatric/mental health disorders is not available
Evaluation Period: January 2023 - December 2023
Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders is not available
Evaluation Period: January 2023 - December 2023
Emergency department volume is medium
Evaluation Period: January 2022 - December 2022
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0645124
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- DR. DAVID HOLLOMAN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Baptist Medical Center Of The Beaches, Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for BAPTIST MEDICAL CENTER OF THE BEACHES, INC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 2 | 1 | 1 | 5 | 5 | 9 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 2 | 5 | 10 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 2 + 5 + 1 + 0 + 9 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1821155912 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659463123 | MS. KATHLEEN GERSEK BODKIN RD, LD/N,CDE Individual | Dietitian, Registered | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (904) 627-2900 |
| 1770673527 | DR. MATTHEW LAWRENCE MORGAN M.D. Individual | Anesthesiology | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (706) 544-2181 |
| 1487876504 | ROSEMARY MAXWELL BOSSOW RD, LDN Individual | Dietitian, Registered | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (904) 627-2900 |
| 1932376712 | EMERGENCY PHYSICIANS INC Organization | Emergency Medicine | 1350 13TH AVE S JACKSONVILLE, FL 32250 (904) 396-5682 |
| 1962664854 | DR. ANDREW WILLIAM KOENIG PT, DPT, OCS, CSCS Individual | Physical Therapist | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (904) 627-2900 |
| 1497068183 | DR. LUIS ENRIQUE MILLAN DPT Individual | Physical Therapist | 1350 13TH AVE S JACKSONVILLE, FL 32250 (904) 627-2900 |
| 1588002745 | CAROL LOUISE LEWIS R.N.F.A. Individual | Registered Nurse (Registered Nurse First Assistant) | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (904) 627-2900 |
| 1093769879 | JOSE F JIMENEZ M.D. Individual | Anesthesiology | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (904) 238-4147 |
| 1740672450 | MRS. KATIE CARLSON HOWARD CCC-SLP Individual | Speech-Language Pathologist | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (904) 627-1450 |
| 1033163738 | JACKSONVILLE ANESTHESIA CORPORATION INC Organization | Anesthesiology | 1350 13TH AVE S JACKSONVILLE, FL 32250 (855) 496-3578 |
| 1235452285 | ALEXIS KANE CRNA Individual | Nurse Anesthetist, Certified Registered | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (904) 376-4182 |
| 1598175960 | DAVID ARMSTRONG CRNA Individual | Nurse Anesthetist, Certified Registered | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (904) 376-4182 |
| 1487157111 | PAULA BROWN PA-C Individual | Physician Assistant | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (904) 627-2974 |
| 1568720324 | LAUREN LEONARD MS, CCC-SLP Individual | Speech-Language Pathologist | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (904) 424-5584 |
| 1467916775 | CORPORATE HEALTH LLC Organization | Family Medicine | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (904) 202-5379 |
| 1669451399 | BRENDA KAY SHARP CRNA Individual | Nurse Anesthetist, Certified Registered | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (407) 667-0444 |
| 1750844783 | ANGIE LEIGH NUTIAL FNP-BC Individual | Nurse Practitioner (Adult Health) | 1350 13TH AVE S JACKSONVILLE BEACH, FL 32250 (512) 730-3056 |
| 1851959571 | CARLA CASTLEBERRY Individual | Registered Nurse | 1350 13TH AVE S JACKSONVILLE, FL 32250 (904) 627-2900 |
| 1568081651 | HARRICIA SAMUELS Individual | Registered Nurse | 1350 13TH AVE S JACKSONVILLE, FL 32250 (904) 627-2900 |
| 1972125342 | YEVGENIY VUGMAN RN Individual | Registered Nurse | 1350 13TH AVE S JACKSONVILLE, FL 32250 (904) 713-3704 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821155912, enumerated in the NPI registry as an "organization" on January 02, 2007
The provider is located at 1350 13th Ave S Jacksonville Beach, Fl 32250 and the phone number is (904) 376-4182
This medical organization specializes in General Acute Care Hospital with taxonomy code 282N00000X
The provider might be accepting Accepts: AvMed, Florida Blue (BlueCross BlueShield FL),. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D0645124 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
The Overall Quality Rating for this hospital is 4 out of 5 stars which is good when compared to other hospitals. The overall hospital quality rating is calculated by taking the weighted average of several performance areas like: emergency services, mortality, safety of care, readmission, patient experience, etc.
This hospital has affiliations with at least 752 health care professionals covering 32 different specialties including: Radiology, Otolaryngology, Nurse Practitioner, Urology, Physician Assistant, Internal Medicine, Specialist, Psychiatry & Neurology, Pathology, Hospitalist, Family Medicine, Psychologist, Optometrist, Anesthesiologist Assistant, Surgery, Anesthesiology, Allergy & Immunology, Obstetrics & Gynecology, Nurse Anesthetist, Certified Registered, Podiatrist, Thoracic Surgery (Cardiothoracic Vascular Surgery), Pain Medicine, Emergency Medicine, Ophthalmology, Neurological Surgery, Orthopaedic Surgery, Dermatology, Physical Medicine & Rehabilitation, Nuclear Medicine, Plastic Surgery, Colon & Rectal Surgery and Student in an Organized Health Care Education/Training Program.
This NPI record was last updated on January 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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