Active NPI
Haghighi Family & Sports Medicine PA
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1083795637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Sports Medicine (Family Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004895000 | Medicaid | FL |
Other names 1
- Haghighi Family & Sports Medicine PA
National Provider Directory
National Provider DirectoryLocations
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.