Active NPI
Seabury D Stoneburner Jr MD PA
- Nephrology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- SEABURY D STONEBURNER JR MD PA
- Practice address
- 3 Shircliff Way
Suite 658
Jacksonville, FL 32204-4757 - Phone
- (904) 389-9681
- Fax
- (904) 389-7975
- NPI assigned
- Aug 18, 2008
- Last updated
- Dec 2, 2008
- 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
- Dr. Seabury D Stoneburner Jr., M.D.
- Title
- Owner
- Phone
- (904) 389-9681
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NU | Primary |
Addresses
Primary practice location
3 Shircliff Way
Suite 658
Jacksonville, FL 32204-4757
Mailing address
3 Shircliff Way
Suite 658
Jacksonville, FL 32204-4757
Phone (904) 389-9681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058252200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
3 Shircliff Way
Ste 658
Jacksonville, FL 32204
Phone (904) 389-9681
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1154315984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228176000000",
"number": "1285880534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SHIRCLIFF WAY",
"address_2": "SUITE 658",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044757",
"telephone_number": "904-389-9681",
"fax_number": "904-389-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SHIRCLIFF WAY",
"address_2": "SUITE 658",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044757",
"telephone_number": "904-389-9681",
"fax_number": "904-389-7975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEABURY D STONEBURNER JR MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-18",
"last_updated": "2008-12-02",
"status": "A",
"authorized_official_last_name": "STONEBURNER",
"authorized_official_first_name": "SEABURY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-389-9681",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058252200",
"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 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.