Theramed Medical Associates LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

CH8396 Issued in FL

Legal business name

THERAMED MEDICAL ASSOCIATES LLC

Practice address

9360 Lem Turner Rd
Jacksonville, FL 32208-2200

Phone

(904) 764-3434

Fax

(904) 764-3211

NPI assigned

Nov 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. George Albert, D.C.NPI 1568499424

Title

Chiropractor

Phone

(904) 764-3434

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Theramed Medical Associates LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Theramed Medical Associates LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1013838580
  NPD tax ID
• Theramed Medical Associates LLC

  • Chiropractor
  • Callahan, FL
  • NPI 1700707288
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Theramed Medical Associates LLC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1013838580
  NPPES parent name
• Theramed Medical Associates LLC

  • Chiropractor
  • Callahan, FL
  • NPI 1700707288
  NPPES parent name

Practitioners 2

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

• George Louis Albert

  • Chiropractor
  • Jacksonville, FL
  • NPI 1568499424
  Medicare reassignment NPD Authorized official
• Suzanna El-Yazigi, D.C

  • Chiropractor
  • Jacksonville, FL
  • NPI 1003108283
  NPD (past)

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1053740688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 LEM TURNER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082200",
            "telephone_number": "904-764-3434",
            "fax_number": "904-764-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9360 LEM TURNER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322082200",
            "telephone_number": "904-764-3434",
            "fax_number": "904-764-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAMED MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "904-764-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "CH8396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382126900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachelle L Theobald, LMHC
• Briyana Alexis Theodore, OD
• Jessica Theodoridis, APRN
• Therafit Physical Therapy, LLC.
• Theramed Medical Associates LLC
• Theramed, LLC
• Therapeutic BD Services, LLC
• Therapeutic Consulting Associates, LLC
• Theraplay Jax LLC
• Therapy Source LLC

• Health Maintenance Organization in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.