Active NPI
Reginald L. Sykes, Sr, M.D., P.a.
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1013356641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME58350
- Legal business name
- REGINALD L. SYKES, SR, M.D., P.A.
- Practice address
- 3160 Edgewood Ave W
Jacksonville, FL 32209-2245 - Phone
- (904) 768-8222
- Fax
- (904) 482-0373
- NPI assigned
- Jun 17, 2013
- Last updated
- Jun 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reginald L Sykes Sr., M.D.
- Title
- President/Physician
- Phone
- (904) 768-8222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME58350 | FL | Primary |
Addresses
Primary practice location
3160 Edgewood Ave W
Jacksonville, FL 32209-2245
Mailing address
3160 Edgewood Ave W
Jacksonville, FL 32209-2245
Phone (904) 768-8222
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1790730661
-
- Family Medicine Physician
- Orange Park, FL
- NPI 1053366906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371427200000",
"number": "1013356641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 EDGEWOOD AVE W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322092245",
"telephone_number": "904-768-8222",
"fax_number": "904-482-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 EDGEWOOD AVE W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322092245",
"telephone_number": "904-768-8222",
"fax_number": "904-482-0373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGINALD L. SYKES, SR, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-17",
"last_updated": "2013-06-17",
"status": "A",
"authorized_official_last_name": "SYKES",
"authorized_official_first_name": "REGINALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "904-768-8222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME58350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.