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DR. AGNES ELIZABETH AYSOLA M.D. NPI 1689618811


NPI Information

NPI: 1689618811
Provider Name: DR. AGNES ELIZABETH AYSOLA, M.D.
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

PECOS Registration: Yes

Address:
655 W 8TH ST
UFJP PATHOLOGY DEPT.
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-4387
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DR. Agnes Elizabeth Aysola, M.D. is an anatomic pathology and clinical pathology pathology in Jacksonville, FL with 44 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Agnes Elizabeth Aysola, M.D. NPI is 1689618811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

655 W 8TH ST
UFJP PATHOLOGY DEPT.
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-4387

The NPI 1689618811 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 enumeration date for this NPI number is 6/16/2006 and was last updated on 6/10/2009.


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
1207ZB0001XPathologyBlood Banking & Transfusion MedicineME103131FLORIDANo
2207ZB0001XPathologyBlood Banking & Transfusion Medicine42392MINNESOTANo
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology42392MINNESOTANo
4207ZP0102XPathologyAnatomic Pathology & Clinical PathologyME103131FLORIDAYes

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
11032019OTHERMINNESOTAPREFERRED ONE
2H76248MEDICARE UPINMINNESOTA
3220000908MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMN MEDICARE
4313506441AMEDICAIDGEORGIA
51032020OTHERMINNESOTAUCARE
611-00014OTHERMINNESOTAMEDICA PRIMARY
7HP38358OTHERMINNESOTAHEALTHPARTNERS
8220033314MEDICARE ID-TYPE UNSPECIFIEDMINNESOTARAILROAD MEDICARE
934309100MEDICAIDWISCONSIN
10587447500MEDICAIDMINNESOTA
110005352-00MEDICAIDFLORIDA
12BH731ZMEDICARE PINFLORIDA
131692251OTHERMINNESOTAARAZ
1411-00245OTHERMINNESOTAMEDICA CHOICE
15P00696462MEDICARE PINFLORIDA
16258A6AYOTHERMINNESOTABCBS
170559724MEDICAIDIOWA

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.