NPIMap

Organization Active NPI

Oceanview Medicine, PLLC

Doing business as Advanced Gastroenterology and Hepatology

  • Gastroenterology Physician
  • Jacksonville, FL
National Provider Identifier
1417408683
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME92069 Issued in FL
Legal business name
OCEANVIEW MEDICINE, PLLC
Doing business as
Advanced Gastroenterology and Hepatology
Practice address
6817 Southpoint Pkwy Ste 102
Jacksonville, FL 32216-6285
Phone
(904) 513-3998
Fax
(904) 575-4919
NPI assigned
Oct 21, 2016
Last updated
Aug 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Dr. Xiaoyu Li, M. D., PH. D.NPI 1790846988
Title
President/Owner
Phone
(904) 513-3998

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME92069 FL Primary
Hepatology Physician 207RI0008X ME92069 FL

Addresses

Primary practice location

6817 Southpoint Pkwy Ste 102
Jacksonville, FL 32216-6285

Mailing address

6817 Southpoint Pkwy Ste 102
Jacksonville, FL 32216-6285
Phone (904) 513-3998

Other names 1

  • Advanced Gastroenterology and Hepatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170130000476 FL Part B Supplier - Clinic/Group Practice 5597047449 Receives reassigned benefits from 4 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

6817 Southpoint Pkwy
Ste 102
Jacksonville, FL 32216
Phone (904) 513-3998

Practitioners & affiliated clinicians

Practitioners 5

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": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1417408683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166285",
            "telephone_number": "904-513-3998",
            "fax_number": "904-575-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166285",
            "telephone_number": "904-513-3998",
            "fax_number": "904-575-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANVIEW MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "XIAOYU",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "904-513-3998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D., PH. D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME92069",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "FL",
            "license": "ME92069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Gastroenterology and Hepatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Gastroenterology and Hepatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.