Active NPI
Frederick J. Blind, MD
- Emergency Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME99282
- Practice address
- 655 W 8TH St
Ufjp Emergency Medicine
Jacksonville, FL 32209-6511 - Phone
- (904) 244-3322
- Fax
- (904) 244-3425
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 057936 | GA | |
| Emergency Medicine Physician | 207P00000X | ME99282 | FL | Primary |
Addresses
Primary practice location
655 W 8TH St
Ufjp Emergency Medicine
Jacksonville, FL 32209-6511
Mailing address
PO Box 44008
Ufjp Provider Enrollment
Jacksonville, FL 32231-4008
Phone (904) 244-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Quality Drive Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Carlton ER SVCS Partnership LLC | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services PA | Emergency Medicine | Past | Accepting new patients |
| Mayo Clinic Health System in Waycross, Inc. | Past | Accepting new patients | |
| City Circle ER SVCS Partnership LLC | Emergency Medicine | Past | Accepting new patients |
| Best Care Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Oakfield Drive Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Baxley Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Darling Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000
1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
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-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196553600000",
"number": "1073698122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44008",
"address_2": "UFJP PROVIDER ENROLLMENT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314008",
"telephone_number": "904-244-3660",
"fax_number": "904-244-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W 8TH ST",
"address_2": "UFJP EMERGENCY MEDICINE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096511",
"telephone_number": "904-244-3322",
"fax_number": "904-244-3425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLIND",
"first_name": "FREDERICK",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "057936",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME99282",
"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 Dec 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.