Anthony Edward Hamaty, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0057642 Issued in FL

Practice address

14444 Beach Blvd
Suite 305B
Jacksonville, FL 32250-2079

Phone

(904) 223-6410

Fax

(904) 821-9688

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1356329056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850192",
            "telephone_number": "904-282-6331",
            "fax_number": "904-282-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14444 BEACH BLVD",
            "address_2": "SUITE 305B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502079",
            "telephone_number": "904-223-6410",
            "fax_number": "904-821-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMATY",
        "first_name": "ANTHONY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "ME0057642",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0057642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "370016071",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055515100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12299",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Nicole Haltiwanger, OTD, OTR/L
• Eric Scott Halveland
• Taylor Ham, MD
• Elnour Ibrahim Elnour Hamad
• Faith Danielle Hamamura, MD
• Mireille Hamdan, RDN
• Irram Hamdani, M.D
• Ajmal Hameed, M.D.
• Miranda Grace Hamelberg, PSYCHOLOGIST
• Erin Rae Spadaro Hamersley, D.O.

• Pediatrics Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.