Johnny Jada MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME52918 Issued in FL

Legal business name

JOHNNY JADA MD

Practice address

3550 University Blvd S
Ste 206
Jacksonville, FL 32216-4246

Phone

(904) 737-5600

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Johnny Jada, M.D.NPI 1184605057

Title

Doctor

Phone

(904) 388-4712

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnny N Jada, MD

  • Pediatrics Physician
  • Jacksonville, FL
  • NPI 1184605057
  NPD (past) Authorized official
• Maria D Alva, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Jacksonville, FL
  • NPI 1225137516
  NPD (past)
• Mellissa Settles, ARNP

  • Pediatric Nurse Practitioner
  • Jacksonville, FL
  • NPI 1316194780
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1154736304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 UNIVERSITY BLVD S",
            "address_2": "STE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 UNIVERSITY BLVD S",
            "address_2": "STE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164246",
            "telephone_number": "904-737-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY JADA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "JADA",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "904-388-4712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME52918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah John, OTR/L
• Kayla John
• Leann Elizabeth John, MS, RD, LDN
• Marissa Michelle John, LCSW
• Rajee Sajan John, PHARM D
• Anthony Johns, QASP
• April Ann Johns, PA-C
• Gretchen Johns, MD
• Sierra Johns
• Johnson Homecare (Jacksonville), LLC

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.