Active NPI
Cardio Options Inc.
- Cardiology Technician
- Jacksonville, FL
National Provider Identifier
1215041603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiology Technician
- Legal business name
- CARDIO OPTIONS INC.
- Practice address
- 12627 San Jose Blvd
Suite 205
Jacksonville, FL 32223-2662 - Phone
- (904) 268-6679
- Fax
- (904) 425-3236
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jack Leemond Boyd
- Title
- Owner/Ceo
- Phone
- (904) 268-6679
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiology Technician | 246W00000X | Primary |
Addresses
Primary practice location
12627 San Jose Blvd
Suite 205
Jacksonville, FL 32223-2662
Mailing address
12627 San Jose Blvd
Suite 205
Jacksonville, FL 32223-2662
Phone (904) 268-6679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259067 | Other | FL | AVMED PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031222000113 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7911805551 | Practice locations: Jacksonville, FL |
National Provider Directory
National Provider DirectoryLocations
12627 San Jose Blvd
Ste 205
Jacksonville, FL 32223
Phone (904) 268-6679
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Garden City, KS
- NPI 1992754360
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1245340322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358899200000",
"number": "1215041603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12627 SAN JOSE BLVD",
"address_2": "SUITE 205",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322232662",
"telephone_number": "904-268-6679",
"fax_number": "904-425-3236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12627 SAN JOSE BLVD",
"address_2": "SUITE 205",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322232662",
"telephone_number": "904-268-6679",
"fax_number": "904-425-3236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIO OPTIONS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2013-01-23",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "LEEMOND",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "904-268-6679",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "246W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED PROVIDER NUMBER",
"identifier": "259067",
"state": "FL"
}
],
"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 Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.