N E Florida Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

N E FLORIDA INTERNAL MEDICINE PA

Practice address

2065 Herschel St
Jacksonville, FL 32204-3817

Phone

(904) 387-4050

Fax

(904) 387-4860

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Elyssa Blissenbach, MD PANPI 1881601714

Title

President

Phone

(904) 387-4050

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 9

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

• Elyssa Blissenbach, MD PA

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1881601714
  Medicare reassignment Care Compare group NPD Authorized official
• Leaanne Griffis, APRN

  • General Practice Registered Nurse
  • Jacksonville, FL
  • NPI 1649808197
  Medicare reassignment Care Compare group NPD
• Monica J Cox, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1467432351
  Medicare reassignment NPD
• Sara Elizabeth Haugen, FNP-BC

  • Family Nurse Practitioner
  • Ponte Vedra Beach, FL
  • NPI 1770355596
  Medicare reassignment NPD
• Angel Lilly, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1154040186
  Medicare reassignment NPD
• Leah M Rose, APRN

  • Nurse Practitioner
  • Saint Johns, FL
  • NPI 1336769934
  Medicare reassignment NPD
• Julie Marie McKay, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144336165
  NPD (past)
• Kathryn Mogan, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1962846097
  NPD (past)
• Jewel R Scarlett, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1750413662
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1487724993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 HERSCHEL STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043817",
            "telephone_number": "904-387-4050",
            "fax_number": "904-387-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 HERSCHEL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043817",
            "telephone_number": "904-387-4050",
            "fax_number": "904-387-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N E FLORIDA INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "BLISSENBACH",
        "authorized_official_first_name": "ELYSSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-387-4050",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252461900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myron F Mass MD PA
• Sarah Myrthil
• Myrtice Angels Senior Home Care LLC.
• Myryde App
• N & J Horn, Inc.
• N H Tucker III, M.D. ,P.a.
• N&I Psychiatry LLC
• Caitlin M Naas, PT, DPT
• Arastoo T Nabizadeh, MD
• Kasra A Nabizadeh, M.D.

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.