NPIMap

Organization Active NPI

John Assi, MD, PA

  • Pediatrics Physician
  • Jacksonville, FL
National Provider Identifier
1194998690
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MH45615 Issued in FL
Legal business name
JOHN ASSI, MD, PA
Practice address
5200 18 Norwood Av
Jacksonville, FL 32208
Phone
(904) 713-8787
Fax
(904) 713-8709
NPI assigned
Apr 7, 2008
Organization subpart
Yes
Parent organization
JOHN ASSI, MD, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Dr. John Assi, MD
Title
Owner
Phone
(904) 398-1471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X MH45615 FL Primary

Addresses

Primary practice location

5200 18 Norwood Av
Jacksonville, FL 32208

Mailing address

3710 Grandy Ave
Jacksonville, FL 32207-6112
Phone (904) 398-1471

Other identifiers 1

IdentifierTypeStateIssuer
263972602MedicaidFL

Other names 1

  • Children's Health Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John Assi MD PA9 organizations share this tax ID, including this one
Part of
John Assi MD PA

Other organizations with this tax ID 8

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

Locations

5200-18 Norwood Ave
Jacksonville, FL 32208
Phone (904) 713-8787

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1194998690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 GRANDY AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076112",
            "telephone_number": "904-398-1471",
            "fax_number": "904-398-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 18 NORWOOD AV",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32208",
            "telephone_number": "904-713-8787",
            "fax_number": "904-713-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ASSI, MD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN ASSI, MD, PA",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "ASSI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-398-1471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "MH45615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263972602",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 25, 2008; 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.