Anthony Iselborn, DC,ATC,DACBSP,CSCS

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH00004759 Issued in FL

Practice address

3355 Hendricks Ave
Jacksonville, FL 32207-5301

Phone

(904) 731-3000

Fax

(904) 398-5090

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anthony Iselborn, DC PA

  dba Iselborn Chiropractic & Sports Medicine

  • Sports Physician Chiropractor
  • Jacksonville, FL
  • NPI 1992398721
  NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386730380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 HENDRICKS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075301",
            "telephone_number": "904-731-3000",
            "fax_number": "904-398-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 HENDRICKS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075301",
            "telephone_number": "904-731-3000",
            "fax_number": "904-398-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISELBORN",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC,ATC,DACBSP,CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH00004759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valance J Isaacs
• Kimberly K Isaacson, CRNA
• Carmen Liliana Isache, M.D.
• Natasha Isaza, APRN
• Sebastian Isaza, DDS
• Samantha Isern, MD
• Nadir Ismat Ishag Osman, M.D, M.S
• Nafisa G Ishaku, MD
• Sumit Isharwal, MD
• Yudai Ishiyama, MD

• Sports Physician Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.