Kenneth R Hitz, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 89307 Issued in FL

Practice address

1955 US Highway 1 S
Wing D-East
St Augustine, FL 32086-3708

Phone

(904) 829-2530

Fax

(386) 325-1086

NPI assigned

Dec 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Chris B Rathburn MD PA

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1538271945
  NPD (past)
• Memorial Family Practice Associates, LLC

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1598869844
  NPD (past)
• Memorial Urgent Care Mandarin LLC

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1033193743
  NPD (past)
• Solantic LLC

  • Urgent Care Clinic/Center
  • Jacksonville, FL
  • NPI 1609822592
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1326022195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 RIVER ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321775042",
            "telephone_number": "386-326-7342",
            "fax_number": "386-325-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 US HIGHWAY 1 S",
            "address_2": "WING D-EAST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863708",
            "telephone_number": "904-829-2530",
            "fax_number": "386-325-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITZ",
        "first_name": "KENNETH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 89307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277317100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Hilton, MA, RMHCI
• Chequita Hilversum, O.D.
• Leah Hines
• Michael Hines
• Roy H Hinman, MD PA
• Arielle Hobbs, LMHC
• Jessica Hobgood, LMHC
• Hallie Hoch, OTRL, MOT
• George C Hochreiter, DO
• Todd S Hockett, OD

• Family Medicine Physician in St Augustine, FL
• Providers in St Augustine, 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 May 29, 2014; 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.