Oak Hill Family Care Center Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME33447 Issued in FL

Legal business name

OAK HILL FAMILY CARE CENTER INC.

Practice address

4760 Blanding Blvd
Jacksonville, FL 32210-7327

Phone

(904) 778-4448

Fax

(904) 778-3634

NPI assigned

Dec 13, 2012

Last updated

Dec 13, 2012By 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

Mrs. Amanda Climacosa Zaide, M.D.NPI 1841397809

Title

President/Physician

Phone

(904) 778-4448

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Liza R Byatt, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1881239721
  Medicare reassignment NPD
• Amanda Climacosa Zaide, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1841397809
  Authorized official Same address or phone

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1235475575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107327",
            "telephone_number": "904-778-4448",
            "fax_number": "904-778-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107327",
            "telephone_number": "904-778-4448",
            "fax_number": "904-778-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HILL FAMILY CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "ZAIDE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "CLIMACOSA",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "904-778-4448",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME33447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waldena Rose O'Sulliva, MAMFT
• Nuala Anne O'Sullivan, ARNP
• Sina O'Sullivan, MD
• Kyle Edward O'Toole, LAT, ATC
• Oak and Ivy Home Care
• Oakleaf Chiropractic and Injury Center Inc
• Oakleaf Chiropractic Inc
• Oakleaf Family Chiropractic (Oakleaf Chiropractic and Injury Center)
• Oakleaf Injury and Pain Center LLC
• Oakleaf Orthodontics, PLLC

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.