Provider Type Icon

ER PHYSICIANS GROUP AT JACKSON HOSPITAL NPI 1215347414


NPI Information

NPI: 1215347414
Provider Name: ER PHYSICIANS GROUP AT JACKSON HOSPITAL
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
436 3RD AVE
SUITE A
MARIANNA, FL
ZIP 32446
Phone: (850) 718-2677
Get Directions

ER PHYSICIANS GROUP AT JACKSON HOSPITAL is a pediatrics in Marianna, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ER PHYSICIANS GROUP AT JACKSON HOSPITAL NPI is 1215347414. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

436 3RD AVE
SUITE A
MARIANNA, FL
ZIP 32446
Phone: (850) 718-2677

The provider's authorized official is Melissa Sue Moniz .
The authorized official title is Director Of Physician Practices and has the following contact phone number (850) 718-2677.

The enumeration date for this NPI number is 4/28/2014 and was last updated on 4/28/2014.


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
1208000000XPediatrics5101019459MICHIGANYes

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

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.