Critical Care of N Jacksonville, PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

CRITICAL CARE OF N JACKSONVILLE, PA

Practice address

3550 University Blvd S
Suite 207
Jacksonville, FL 32216-4246

Phone

(904) 739-6666

Fax

(904) 739-1009

NPI assigned

Jul 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Eva V Jackler

Title

Treasurer

Phone

(904) 739-6666

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Amit K Chakravarty, MD

  • Pulmonary Disease Physician
  • Jacksonville, FL
  • NPI 1154352326
  NPD (past)
• Ira Michael Jackler

  • Pulmonary Disease Physician
  • Jacksonville, FL
  • NPI 1831124510
  NPD (past)
• Antoine Kassis, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1477627875
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336170422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56917",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322416917",
            "telephone_number": "904-739-6666",
            "fax_number": "904-739-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 UNIVERSITY BLVD S",
            "address_2": "SUITE 207",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164246",
            "telephone_number": "904-739-6666",
            "fax_number": "904-739-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITICAL CARE OF N JACKSONVILLE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKLER",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "904-739-6666",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "38709",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Cristobal Diaz
• Courtney Rae Criswell, PA-C
• Joanne G. Criswell
• Kimberly Robin Critelli, M.S., CCC-SLP
• Robin E Criter, AUD
• Andre Critsinelis, MD
• Merri Crittle
• Lakisha Crocker
• Allison Kerianne Crockett, M.D.
• Jane Anne Crockett, RN

• Pulmonary Disease Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.