Active NPI
Pamela R Neish, M.D.
- Rheumatology Physician
- Jacksonville, FL
National Provider Identifier
1194894436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD-046812-L
- Practice address
- 1672 Dover Hill Dr
Jacksonville, FL 32225-4936 - Phone
- (412) 221-4268
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MD-046812-L | PA | Primary |
Addresses
Primary practice location
1672 Dover Hill Dr
Jacksonville, FL 32225-4936
Mailing address
1672 Dover Hill Dr
Jacksonville, FL 32225-4936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-046812-L | PA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240012800000",
"number": "1194894436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1672 DOVER HILL DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322254936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1672 DOVER HILL DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322254936",
"telephone_number": "412-221-4268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEISH",
"first_name": "PAMELA",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2009-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "PA",
"license": "MD-046812-L",
"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 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.