Active NPI
Hyde Park Medical Arts Inc
- Sports Medicine (Family Medicine) Physician
- Jacksonville, FL
National Provider Identifier
1235286527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- OS7282
- Legal business name
- HYDE PARK MEDICAL ARTS INC
- Practice address
- 6671 Hyde Grove Ave
Jacksonville, FL 32210-2839 - Phone
- (904) 783-3700
- Fax
- (904) 695-2579
- NPI assigned
- Jan 5, 2007
- Last updated
- Dec 17, 2012
- 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
- Ms. Rebecca Jane Haynes
- Title
- Office Manager
- Phone
- (904) 783-3700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | OS7282 | FL | Primary |
Addresses
Primary practice location
6671 Hyde Grove Ave
Jacksonville, FL 32210-2839
Mailing address
6671 Hyde Grove Ave
Jacksonville, FL 32210-2839
Phone (904) 783-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264729000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1634 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 389-3811
6671 Hyde Grove Ave
Jacksonville, FL 32210
Phone (904) 783-3700
Practitioners & affiliated clinicians
Practitioners 4
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.
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- Hospitalist Physician
- Jacksonville, FL
- NPI 1255573960
-
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Jacksonville, FL
- NPI 1073536223
-
- Chiropractor
- Jacksonville, FL
- NPI 1295171361
-
- Pain Medicine (Anesthesiology) Physician
- Jacksonville, FL
- NPI 1447474390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355702400000",
"number": "1235286527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6671 HYDE GROVE AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322102839",
"telephone_number": "904-783-3700",
"fax_number": "904-695-2579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6671 HYDE GROVE AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322102839",
"telephone_number": "904-783-3700",
"fax_number": "904-695-2579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYDE PARK MEDICAL ARTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2012-12-17",
"status": "A",
"authorized_official_last_name": "HAYNES",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "904-783-3700",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "OS7282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264729000",
"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 Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.