Organization Active NPI

Haitao Zhang MD, P.a.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
National Provider Identifier
1356998975
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
HAITAO ZHANG MD, P.A.
Practice address
10175 Fortune Pkwy Unit 803
Jacksonville, FL 32256-6754
Phone
(904) 718-6929
Fax
(904) 201-4057
NPI assigned
Aug 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Dr. Haitao Zhang, MDNPI 1679716344
Title
President
Phone
(904) 718-6929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

10175 Fortune Pkwy Unit 803
Jacksonville, FL 32256-6754

Mailing address

10175 Fortune Pkwy
Jacksonville, FL 32256-6746
Phone (904) 718-6929

National Provider Directory

National Provider Directory

Locations

10175 Fortune Pkwy
Jacksonville, FL 32256
Phone (904) 379-5928

10175 Fortune Pkwy
Unit 803
Jacksonville, FL 32256
Phone (904) 374-0353

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1356998975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566746",
            "telephone_number": "904-718-6929",
            "fax_number": "904-201-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 803",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566754",
            "telephone_number": "904-718-6929",
            "fax_number": "904-201-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAITAO ZHANG MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "HAITAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-718-6929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 22, 2022; 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.