Sleep Medicine Center Inc

Primary specialty

EEG Specialist/TechnologistTaxonomy code 246ZE0500X

Legal business name

SLEEP MEDICINE CENTER INC

Practice address

101 Eucalyptus Ave
Box 386
Crescent City, FL 32112-2407

Phone

(386) 325-9797

Fax

(386) 325-9798

NPI assigned

Oct 8, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Hubert Zachary, PHD

Title

President

Phone

(904) 281-1066

Specialties & licenses 2

Addresses

Tax ID family

Sleep Medicine Center Inc3 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.

• Sleep Medicine Center Inc

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1457781213
  NPD tax ID
• Sleep Medicine Center Inc

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Keystone Heights, FL
  • NPI 1801226667
  NPD tax ID

Locations

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1144657008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9838 OLD BAYMEADOWS RD",
            "address_2": "SUITE 386",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568101",
            "telephone_number": "904-281-1066",
            "fax_number": "904-281-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EUCALYPTUS AVE",
            "address_2": "BOX 386",
            "city": "CRESCENT CITY",
            "state": "FL",
            "postal_code": "321122407",
            "telephone_number": "386-325-9797",
            "fax_number": "386-325-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP MEDICINE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "ZACHARY",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-281-1066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Roddy, OTR
• Rural Health Care Incorporated (Aza Health)
• Rural Health Care, Inc. (Aza Health)
• Charlotte Preston Santa, RN, CAP, LCSW
• Kaelea Faith Sexton
• Southeast Sleep Consultants
• St John'S Recovery Place LLC
• Kylee Stoltzfus
• Sunrise Primary Care Inc
• Sunrise Primary Care Inc

• Other Specialist/Technologist in Crescent City, FL
• Providers in Crescent City, FL by specialty
• Other Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.