Active NPI
Ester S Macam, M.D.
- Psychiatry Physician
- Jacksonville, FL
National Provider Identifier
1316048143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME43690
- Practice address
- 3333 West 20TH Street
Jacksonville, FL 32254 - Phone
- (904) 695-0249
- Fax
- (904) 626-4994
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME43690 | FL | Primary |
Addresses
Primary practice location
3333 West 20TH Street
Jacksonville, FL 32254
Mailing address
P.O. Box 19249
Jacksonville, FL 32245-9249
Phone (904) 743-1883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME43690 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1316048143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 19249",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322459249",
"telephone_number": "904-743-1883",
"fax_number": "904-743-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 WEST 20TH STREET",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32254",
"telephone_number": "904-695-0249",
"fax_number": "904-626-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACAM",
"first_name": "ESTER",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME43690",
"primary": true
}
],
"identifiers": [],
"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 Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.