DRS Baker & Gilmour MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

DRS BAKER & GILMOUR MD PA

Practice address

3550 University Blvd S
Suite 302
Jacksonville, FL 32216-4246

Phone

(904) 733-4444

Fax

(904) 733-5377

NPI assigned

Sep 30, 2005

Last updated

Dec 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jody Bostic

Title

Practice Administrator

Phone

(904) 733-4444

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• DRS Baker & Gilmour MD PA

  • Cardiovascular Disease Physician
  • St Augustine, FL
  • NPI 1174673859

  O20031217001068

  Same enrollment
• DRS Baker & Gilmour MD PA

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1841783701

  O20031217001068

  Same enrollment
• DRS Baker & Gilmour MD PA

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1962555490

  O20031217001068

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

DRS Baker Gilmour MD PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• DRS Baker & Gilmour MD PA

  • Cardiovascular Disease Physician
  • St Augustine, FL
  • NPI 1174673859
  NPD tax ID
• DRS Baker & Gilmour MD PA

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1841783701
  NPD tax ID
• DRS Baker & Gilmour MD PA

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1962555490
  NPD tax ID

Practitioners 3

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.

• Amit Kumar Gupta, MD

  • Interventional Cardiology Physician
  • Bradenton, FL
  • NPI 1114252475
  NPD
• Albert A Seals, MD

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1568466159
  NPD (past)
• Darlene Deborah Stevens, PH.D., ARNP

  • Adult Health Nurse Practitioner
  • Orange Park, FL
  • NPI 1295739605
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1023005501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 UNIVERSITY BLVD S",
            "address_2": "SUITE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164246",
            "telephone_number": "904-733-4444",
            "fax_number": "904-733-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 UNIVERSITY BLVD S",
            "address_2": "SUITE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164246",
            "telephone_number": "904-733-4444",
            "fax_number": "904-733-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS BAKER & GILMOUR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "BOSTIC",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "904-733-4444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB1978",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252952100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "77241",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A Drop, RPH
• Rachel Elizabeth Drouilhet, MD
• Cynthia L Drown, PT
• Shawn David Drown, MOTR/L
• Marry Diane Drozdov, SLP
• DRS Baker & Gilmour MD PA
• DRS Baker & Gilmour MD PA
• DRS Choice First
• DRS Choice Vascular Access
• DRS. Barrack & Liane,PA (Liane Downtown Eye Associaties)

• Cardiovascular Disease Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.