Parkway Medicine LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PARKWAY MEDICINE LLC

Practice address

7860 Gate Pkwy Ste 106
Jacksonville, FL 32256-7280

Phone

(904) 619-2703

NPI assigned

Jan 3, 2014

Last updated

Jan 3, 2014By 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

Dr. Jeremiah Wesley Carlson, DCNPI 1699787010

Title

Owner

Phone

(904) 619-2703

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jeremiah Wesley Carlson

  • Chiropractor
  • Jacksonville, FL
  • NPI 1699787010
  Authorized official Same address or phone

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1396166682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 GATE PKWY STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567280",
            "telephone_number": "904-619-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 GATE PKWY STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567280",
            "telephone_number": "904-619-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-619-2703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Andrea Parks, RN
• Morgan Parks, PHYSICIAN ASSISTANT
• Tanya Parks, RN
• Parkside Clinic, LLC (MedMark Treatment Centers Jacksonville)
• Mark Parkulo, MD
• Parkway Plastic Surgery, P.L.
• Parmar Wellness LLC
• Neelam Parmar, LMHC
• Danielle Parmenter
• Candace J Parmer

• General Practice Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.