Jacksonville Pediatrics

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

JACKSONVILLE PEDIATRICS

Practice address

2606 Park St
Jacksonville, FL 32204-4520

Phone

(904) 388-4646

Fax

(904) 388-9071

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randolph Edens Thornton, M.D.

Title

Senior Physician

Phone

(904) 389-4140

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1743/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043346745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044520",
            "telephone_number": "904-388-4646",
            "fax_number": "904-388-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044520",
            "telephone_number": "904-388-4646",
            "fax_number": "904-388-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "EDENS",
        "authorized_official_title_or_position": "SENIOR PHYSICIAN",
        "authorized_official_telephone_number": "904-389-4140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacksonville Pathology Consultants PA
• Jacksonville Pediatric and Adult Congenital Cardiology
• Jacksonville Pediatric Associates, M.D., P.a.
• Jacksonville Pediatric Endocrinology Clinic PLLC
• Jacksonville Pediatric Speech, LLC
• Jacksonville Physical Medicine LLC
• Jacksonville Plastic Surgery Inc
• Jacksonville Premier Orthopedics LLC
• Jacksonville Primary Care PA
• Jacksonville Psych, LLC

• Pediatric Adolescent Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Adolescent Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.