Individual provider Active NPI

Joseph Mignone, MD

  • Hematology & Oncology Physician
  • Jacksonville, FL
National Provider Identifier
1154318012
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME79920 Issued in FL
Practice address
1235 San Marco Blvd
3Rd Floor
Jacksonville, FL 32207
Phone
(904) 493-5100
Fax
(904) 493-5130
NPI assigned
Oct 5, 2005
Last updated
Jun 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME79920 FL Primary

Addresses

Primary practice location

1235 San Marco Blvd
3Rd Floor
Jacksonville, FL 32207

Mailing address

2160 Colonial Blvd
Fort Myers, FL 33907-1410
Phone (239) 931-7342

Other practice location 1

1235 San Marco Blvd
3rd Floor
Jacksonville, FL 32207-8554
Phone (904) 493-5100

Other identifiers 8

IdentifierTypeStateIssuer
273639OtherFLAVMED
849494350EMedicaidGA
P01593281OtherFLRRMEDICARE
1034496OtherFLCAREPLUS
1193403OtherFLWELLCARE
2623820-00MedicaidFL
51714OtherFLBCBS
P0022944OtherFLFLORIDA HEALTHCARE PLUS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000250 FL Practitioner - Medical OncologyPractitioner - Hematology/Oncology 2668409947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (904) 244-3477

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273
Phone (904) 244-3477

1699 S 14TH St
Suite 1
Fernandina Beach, FL 32034-1995
Phone (904) 427-1370

3599 Univeristy Blvd S
Jacksonville, FL 32216-4252
Phone (904) 244-3477

3625 University Blvd S
Memorial Hospital Jacksonville
Jacksonville, FL 32216-4207
Phone (904) 244-3477

7751 Baymeadows Rd E
205 Uf Health Oncology Baymeadows
Jacksonville, FL 32256-5836
Phone (904) 427-1050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Hematology & Oncology Current Accepting new patients
Shands Jacksonville Medical Center Inc CurrentSince Jan 1, 2018 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Jan 1, 2016 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Jan 1, 2016 Accepting new patients
Shands Jacksonville Medical Center Inc CurrentSince Jan 1, 2018 Accepting new patients
Shands Jacksonville Medical Center Inc Hematology & Oncology Current Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients
Symphony Specialty Group, LLC PastSince Jul 17, 2023 Accepting new patients
Jacksonville Hospitalists PA PastSince Feb 1, 2001 Accepting new patients

Locations

425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991

1551 S 14th St
Ste D
Fernandina Beach, FL 32034
Phone (904) 277-9728

1699 S 14th St
Ste 1
Fernandina Beach, FL 32034
Phone (904) 427-1370

2160 Colonial Blvd
Fort Myers, FL 33907

15255 Max Leggett Pkwy
Ste 6000
Jacksonville, FL 32218
Phone (904) 427-8600

425 N Lee St
Ste 104
Jacksonville, FL 32204
Phone (904) 427-1250

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

7751 Baymeadows Rd E
Ste 101A
Jacksonville, FL 32256
Phone (904) 493-5190

7751 Baymeadows Rd E
Ste 2
Jacksonville, FL 32256
Phone (904) 427-1050

7751 Baymeadows Rd E
Ste 205
Jacksonville, FL 32256
Phone (904) 427-1050

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

3210 Fruitville Rd
Sarasota, FL 34237
Phone (941) 364-8887

Interoperability endpoints

  • Direct secure messaging: jmignone54478@direct.shands.ufl.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1154318012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071410",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SAN MARCO BLVD",
            "address_2": "3RD FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-493-5100",
            "fax_number": "904-493-5130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 San Marco Blvd",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078554",
            "country_code": "US",
            "telephone_number": "904-493-5100",
            "fax_number": "904-493-5130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIGNONE",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME79920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "273639",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "849494350E",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "P01593281",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1034496",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1193403",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2623820-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51714",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA HEALTHCARE PLUS",
            "identifier": "P0022944",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.