Internal Medicine Associates of Jacksonville P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE ASSOCIATES OF JACKSONVILLE P A

Practice address

6320 Saint Augustine Rd
Unit 12
Jacksonville, FL 32217-2800

Phone

(904) 737-6200

Fax

(904) 737-6001

NPI assigned

Oct 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Vadim Lev Madfis, M.D.NPI 1245229277

Title

President

Phone

(904) 737-6200

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Vadim Lev Madfis, M.D.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1245229277
  Medicare reassignment NPD Authorized official
• Maria V Sarkisov, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1740178789
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1184614166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 SAINT AUGUSTINE RD",
            "address_2": "UNIT 12",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172800",
            "telephone_number": "904-737-6200",
            "fax_number": "904-737-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 SAINT AUGUSTINE RD",
            "address_2": "UNIT 12",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172800",
            "telephone_number": "904-737-6200",
            "fax_number": "904-737-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF JACKSONVILLE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "MADFIS",
        "authorized_official_first_name": "VADIM",
        "authorized_official_middle_name": "LEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-737-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.