Meredith Tinti, MD

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

ME119674 Issued in FL

Practice address

3627 University Blvd S Ste 500
Jacksonville, FL 32216-7405

Phone

(904) 596-0760

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1003900952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164294",
            "telephone_number": "904-596-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 500",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322167405",
            "telephone_number": "904-596-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINTI",
        "first_name": "MEREDITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME119674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013389400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME119674",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon F Tinley
• Sara Tinnesz-Baskerville
• Marquita Lashell Tinney
• Tinnitus & Misophonia Treatment Center, LLC
• Kanani Tinsay
• Tiny Prints ABA Services LLC
• Tiomico-Trahan Family Care Center PA
• Maria Gina Tiomico, M.D.
• Emma Tippins, M.S SLP
• Rebecca Marshall Tippins, PT, DPT

• Trauma Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Trauma Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.