JIALIN SU NPI 1740593821

NPI Information

NPI: 1740593821
Provider Name: JIALIN SU
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

Organization: BERKSHIRE FACULTY SERVICES INC

PECOS Registration: Yes

Address:
655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 383-1011
Get Directions

Jialin Su is a clinical cardiac electrophysiology internal medicine in Jacksonville, FL with 31 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. Jialin Su NPI is 1740593821. 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
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 383-1011
Fax: (904) 244-5913

The NPI 1740593821 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 7/19/2010 and was last updated on 5/23/2018.

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 Number	License State	Primary
1	207R00000X	Internal Medicine		ME134322	FLORIDA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	ME134322	FLORIDA	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	ME134322	FLORIDA	Yes

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

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