Philip Adrian Carnevale, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME63643 Issued in FL

Practice address

5105 Bowden Rd
Jacksonville, FL 32216-5907

Phone

(904) 374-0260

Fax

(904) 619-5463

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rizwana Thanawala MD PA

  • Gastroenterology Physician
  • Lake City, FL
  • NPI 1194945097
  Medicare reassignment NPD
• Anesthesia and Pain Physicians of Florida, PA

  dba Pain Relief Center of Florida

  • Specialist
  • Bradenton, FL
  • NPI 1982815080
  NPD (past)
• Bayou Anesthesia and Pain Management Associates PA

  • Pain Medicine Physician
  • Pinellas Park, FL
  • NPI 1801889522

  Anesthesiology

  NPD (past)
• Liquid Logic RX

  • Point of Service
  • Jacksonville, FL
  • NPI 1376095729
  NPD (past)
• Shands at Lake Shore Inc

  dba Lake Shore Orthopedic Specialists

  • Clinic/Center
  • Lake City, FL
  • NPI 1497854186
  NPD (past)
• Shands Teaching Hospital and Clinics Inc

  • Pharmacy
  • Gainesville, FL
  • NPI 1497645915
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1225105299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 BOWDEN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165907",
            "telephone_number": "904-374-0260",
            "fax_number": "904-619-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 BOWDEN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165907",
            "telephone_number": "904-374-0260",
            "fax_number": "904-619-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEVALE",
        "first_name": "PHILIP",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME63643",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME63643",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372464601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adelaide Carmola
• Stephanie Victoria Carmon, ARNP
• Anixa Elena Carmona, MACP
• Amelia Carmosino
• Eugenie Carnegie
• Philip Austin Carnevale, MSN, APRN, FNP-C
• Christina Gindele Caro, M.D.
• David Alan Caro, M.D.
• Carol Miller LCSW, L.L.C.
• Abigail Sophia Carolan, MPAS, PA-C

• Anesthesiology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.