NPIMap

Organization Active NPI

Southpoint Plastic Surgery Associates

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1174840235
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME31869 Issued in FL
Legal business name
SOUTHPOINT PLASTIC SURGERY ASSOCIATES
Practice address
7051 Southpoint Pkwy
3Rd Floor
Jacksonville, FL 32216-8713
Phone
(904) 398-2720
Fax
(904) 483-5640
NPI assigned
Apr 29, 2010
Organization subpart
Yes
Parent organization
ERNST NICOLITZ, M.D., P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Ernst Nicolitz, M.D.NPI 1275512394
Title
President
Phone
(904) 398-2720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME31869 FL Primary

Addresses

Primary practice location

7051 Southpoint Pkwy
3Rd Floor
Jacksonville, FL 32216-8713

Mailing address

7051 Southpoint Pkwy
3Rd Floor
Jacksonville, FL 32216-8713
Phone (904) 398-2720

National Provider Directory

National Provider Directory
Tax ID family
Ernst Nicolitz M D P a2 organizations share this tax ID, including this one
Part of
Ernst Nicolitz M D P a

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1174840235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 SOUTHPOINT PKWY",
            "address_2": "3RD FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168713",
            "telephone_number": "904-398-2720",
            "fax_number": "904-483-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 SOUTHPOINT PKWY",
            "address_2": "3RD FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168713",
            "telephone_number": "904-398-2720",
            "fax_number": "904-483-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPOINT PLASTIC SURGERY ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERNST NICOLITZ, M.D., P.A.",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "NICOLITZ",
        "authorized_official_first_name": "ERNST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-398-2720",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME31869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 29, 2010; 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.