Organization Active NPI

Cardio Options Inc.

  • Cardiology Technician
  • Jacksonville, FL
National Provider Identifier
1215041603
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiology TechnicianTaxonomy code 246W00000X
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

Updated by the provider on Jan 23, 2013

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)CodeLicenseStatePrimary
Cardiology TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
259067OtherFLAVMED PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031222000113 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7911805551 Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.