Organization Active NPI

Haghighi Family & Sports Medicine PA

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1083795637
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HAGHIGHI FAMILY & SPORTS MEDICINE PA
Doing business as
Haghighi Family & Sports Medicine PA
Practice address
9191 RG Skinner Prkwy
Suite 901
Jacksonville, FL 32256
Phone
(904) 519-8895
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Authorized official

Name
Dr. Michael Haghighi, M.D.
Title
Owner Doctor
Phone
(904) 519-8895

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X

Addresses

Primary practice location

9191 RG Skinner Prkwy
Suite 901
Jacksonville, FL 32256

Mailing address

9191 RG Skinner Prkwy
Suite 901
Jacksonville, FL 32256
Phone (904) 519-8895

Other identifiers 1

IdentifierTypeStateIssuer
0004895000MedicaidFL

Other names 1

  • Haghighi Family & Sports Medicine PA Doing business as

National Provider Directory

National Provider Directory

Locations

9191 R G Skinner Pkwy
Unit 901
Jacksonville, FL 32256
Phone (904) 454-4937

820 A1A N
Ste E9
Ponte Vedra Beach, FL 32082
Phone (904) 242-4220

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1083795637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 RG SKINNER PRKWY",
            "address_2": "SUITE 901",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-519-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 RG SKINNER PRKWY",
            "address_2": "SUITE 901",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-519-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGHIGHI FAMILY & SPORTS MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "HAGHIGHI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "904-519-8895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004895000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haghighi Family & Sports Medicine PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 26, 2017; 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.