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JIN HEE RA MD NPI 1629125380


NPI Information

NPI: 1629125380
Provider Name: JIN HEE RA, MD
Classification: Surgery - 2086S0102X
Entity Type: Individual

Specialization: Surgical Critical Care

PECOS Registration: Yes

Address:
655 W 8TH ST
UFJP SURGERY DEPARTMENT
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 383-1015
Get Directions

Jin Hee Ra, MD is a surgical critical care surgery in Jacksonville, FL with 22 years of experience. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Jin Hee Ra, MD NPI is 1629125380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

655 W 8TH ST
UFJP SURGERY DEPARTMENT
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 383-1015
Fax: (904) 244-4079

The NPI 1629125380 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.

  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)

The enumeration date for this NPI number is 1/4/2007 and was last updated on 1/10/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryMT179830PENNSYLVANIANo
22086S0102XSurgerySurgical Critical CareME107640FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10024329-00MEDICAIDFLORIDA
2581826893AMEDICAIDGEORGIA
3EG092ZMEDICARE PINFLORIDA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.