BAPTIST - SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES INC. NPI 1538593124

NPI Information

NPI: 1538593124
Provider Name: BAPTIST - SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES, INC.

Doing Business As: BAPTIST MD ANDERSON CANCER PHYSICIANS

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
1235 SAN MARCO BLVD
SUITE 2
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 202-7300
Get Directions

BAPTIST - SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES, INC. is a hematology and oncology internal medicine in Jacksonville, FL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. BAPTIST - SOUTHEAST GYNECOLOGIC ONCOLOGY ASSOCIATES, INC. NPI is 1538593124. 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:

1235 SAN MARCO BLVD
SUITE 2
JACKSONVILLE, FL
ZIP 32207-554
Phone: (904) 202-7300
Fax: (904) 202-7377

The provider's authorized official is Leeann Mengel .
The authorized official title is Administrator and has the following contact phone number (904) 376-3707.

The enumeration date for this NPI number is 8/30/2013 and was last updated on 10/11/2018.

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 State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	FLORIDA	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	FLORIDA	No
3	207RX0202X	Internal Medicine	Medical Oncology	FLORIDA	No
4	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	FLORIDA	No
5	207X00000X	Orthopaedic Surgery			No
6	207Y00000X	Otolaryngology			No
7	207YX0905X	Otolaryngology	Otolaryngology/Facial Plastic Surgery		No
8	2084N0400X	Psychiatry & Neurology	Neurology	FLORIDA	No
9	2085R0001X	Radiology	Radiation Oncology	FLORIDA	No
10	2086X0206X	Surgery	Surgical Oncology	FLORIDA	No
11	208800000X	Urology		FLORIDA	No
12	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		FLORIDA	No
13	207RH0003X	Internal Medicine	Hematology & 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	009942201	MEDICAID	FLORIDA
2	0099422-00	MEDICAID	FLORIDA
3	003149978A	MEDICAID	GEORGIA
4	DU3570	OTHER	FLORIDA	RAILROAD 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: 11/14/2023

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »