Individual provider Active NPI

Kathryn Fipp Bing, M.D.

  • Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1275593089
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME71666 Issued in FL
Practice address
1361 13TH Ave S Ste 190&110
Jacksonville, FL 32250-3233
Phone
(904) 247-5514
Fax
(904) 247-3363
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME71666 FL
Gynecology Physician 207VG0400X ME71666 FL Primary

Addresses

Primary practice location

1361 13TH Ave S Ste 190&110
Jacksonville, FL 32250-3233

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333

Other identifiers 1

IdentifierTypeStateIssuer
254631100MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100517000619 FL Practitioner - Obstetrics/Gynecology 2466580105 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME71666FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients

Locations

2525 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-0704

1361 13th Ave S
Ste 190
Jacksonville Beach, FL 32250
Phone (904) 247-5514

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1275593089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0333",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 190&110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322503233",
            "telephone_number": "904-247-5514",
            "fax_number": "904-247-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BING",
        "first_name": "KATHRYN",
        "middle_name": "FIPP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME71666",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME71666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254631100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.