Organization Active NPI

Patrick Kamish MD PA Inc

  • General Practice Physician
  • Jacksonville, FL
National Provider Identifier
1053641688
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PATRICK KAMISH MD PA INC
Practice address
1710 Pearce St
Jacksonville, FL 32209-6144
Phone
(904) 585-9855
NPI assigned
Jan 4, 2010
Last updated
Jan 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Authorized official

Name
Mr. Douglas Edwards
Title
Manager
Phone
(904) 585-9855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X FL Primary

Addresses

Primary practice location

1710 Pearce St
Jacksonville, FL 32209-6144

Mailing address

1710 Pearce St
Jacksonville, FL 32209-6144
Phone (904) 585-9855

National Provider Directory

National Provider Directory

Locations

1710 Pearce St
Jacksonville, FL 32209
Phone (904) 470-8310

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1053641688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 PEARCE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096144",
            "telephone_number": "904-585-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 PEARCE ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096144",
            "telephone_number": "904-585-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK KAMISH MD PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-585-9855",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 4, 2010; 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.