Organization Active NPI

John Paul Arnold MD PA

  • Internal Medicine Physician
  • Fleming Island, FL
National Provider Identifier
1124513403
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0027859 Issued in FL
Legal business name
JOHN PAUL ARNOLD MD PA
Practice address
148 Southerly LN
Fleming Island, FL 32003-8188
Phone
(904) 388-3357
Fax
(904) 384-5746
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Mr. John Paul Arnold, M.D.
Title
President
Phone
(904) 388-3357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0027859 FL Primary

Addresses

Primary practice location

148 Southerly LN
Fleming Island, FL 32003-8188

Mailing address

PO Box 380009
Jacksonville, FL 32205-0509
Phone (904) 388-3357

Other identifiers 1

IdentifierTypeStateIssuer
059241200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1124513403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380009",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322050509",
            "telephone_number": "904-388-3357",
            "fax_number": "904-384-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 SOUTHERLY LN",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038188",
            "telephone_number": "904-388-3357",
            "fax_number": "904-384-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PAUL ARNOLD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-388-3357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0027859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059241200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.