Organization Active NPI

Kiely, Jeremiah, & Barberis, PA

  • Intermediate Emergency Medical Technician
  • Jacksonville, FL
National Provider Identifier
1003925728
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
ME39469 Issued in FL
Legal business name
KIELY, JEREMIAH, & BARBERIS, PA
Practice address
5978 Powers Ave
Jacksonville, FL 32217-2210
Phone
(904) 737-8686
Fax
(904) 448-5414
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert French Kiely, M.D.
Title
Medical Director
Phone
(904) 737-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 146M00000X ME39469 FL Primary

Addresses

Primary practice location

5978 Powers Ave
Jacksonville, FL 32217-2210

Mailing address

5978 Powers Ave
Jacksonville, FL 32217-2210
Phone (904) 737-8686

Other names 1

  • Lakewood Acute Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

5978 Powers Ave
Jacksonville, FL 32217
Phone (904) 399-2800

D860405
Orlando, FL 32886

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003925728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5978 POWERS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172210",
            "telephone_number": "904-737-8686",
            "fax_number": "904-448-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5978 POWERS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172210",
            "telephone_number": "904-737-8686",
            "fax_number": "904-448-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIELY, JEREMIAH, & BARBERIS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIELY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRENCH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "904-737-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "FL",
            "license": "ME39469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Acute Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.