Accmed Healthcare Systems Inc

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

ACCMED HEALTHCARE SYSTEMS INC

Practice address

6816 Southpoint Pkwy
Suite 302
Jacksonville, FL 32216-1700

Phone

(904) 527-3135

Fax

(904) 683-4293

NPI assigned

Nov 21, 2007

Last updated

Nov 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bao Pham, DONPI 1467445403

Title

Ceo

Phone

(904) 527-3135

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bao Tien Pham, D.O

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
  • NPI 1467445403
  Medicare reassignment NPD Authorized official
• Perry J Cole, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville, FL
  • NPI 1053417428
  Medicare reassignment NPD
• John M Flinchbaugh, D.O.

  • Orthopaedic Surgery Physician
  • Orange Park, FL
  • NPI 1205163615
  Medicare reassignment NPD
• Ferdinand Joseph Formoso, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
  • NPI 1801000161
  Medicare reassignment
• Jennifer Crosby, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1942949797

  Pain Medicine

  NPD
• NE'Tosha Cenetrise Dopson-Woodall, PA

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1356394522
  NPD (past)
• Sherrye Kinnebrew, APRN

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1467834929
  NPD (past)

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1215118062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5377 COMMISSIONERS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240830",
            "telephone_number": "904-527-3135",
            "fax_number": "904-683-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 SOUTHPOINT PKWY",
            "address_2": "SUITE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161700",
            "telephone_number": "904-527-3135",
            "fax_number": "904-683-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCMED HEALTHCARE SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "BAO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-527-3135",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accessible Education Solutions
• Accessrehab LLC (Concierge Home Care)
• Accident Care & Wellness Chiropractic Clinics
• Accident Care and Wellness Chiropractic Clinic San Jose
• Accident Care Chiropractic & Holistic Medicine, Inc.
• Accommodate Care Innovations LLC
• Accucare of North Florida Inc.
• Joseph Accurso, MD
• Ace A1 Transportation LLC
• Ace Biomedical Labs, LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.