Organization Active NPI

North Florida Chest Physicians PA

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1366488421
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTH FLORIDA CHEST PHYSICIANS PA
Practice address
425 N Lee St
203
Jacksonville, FL 32204-1127
Phone
(904) 354-8200
Fax
(904) 354-1340
NPI assigned
Jun 20, 2006
Last updated
Jul 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Dr. William Mentz, MD
Title
Physician
Phone
(904) 354-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X FL Primary

Addresses

Primary practice location

425 N Lee St
203
Jacksonville, FL 32204-1127

Mailing address

425 N Lee St
203
Jacksonville, FL 32204-1127
Phone (904) 354-8200

Other identifiers 4

IdentifierTypeStateIssuer
39556OtherFLBCBS OF FLORIDA
0900158001OtherFLCIGNA
2059879OtherFLAETNA
371841700MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1366488421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N LEE ST",
            "address_2": "203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041127",
            "telephone_number": "904-354-8200",
            "fax_number": "904-354-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N LEE ST",
            "address_2": "203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041127",
            "telephone_number": "904-354-8200",
            "fax_number": "904-354-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA CHEST PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "MENTZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-354-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "39556",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0900158001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2059879",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371841700",
            "state": "FL"
        }
    ],
    "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 Jul 8, 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.

Verify at the official NPI Registry.