Organization Active NPI

Seabury D Stoneburner Jr MD PA

  • Nephrology Physician
  • Jacksonville, FL
National Provider Identifier
1285880534
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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.NPI 1154315984
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
058252200MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.