Organization Active NPI

Ishmeal Major MD LLC

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1497880819
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME94659 Issued in FL
Legal business name
ISHMEAL MAJOR MD LLC
Practice address
11798 San Jose Blvd
Suite 2
Jacksonville, FL 32223
Phone
(904) 371-4948
Fax
(904) 371-4958
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ishmeal Major, M.D.NPI 1609821206
Title
Owner
Phone
(904) 254-9643

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME94659 FL Primary

Addresses

Primary practice location

11798 San Jose Blvd
Suite 2
Jacksonville, FL 32223

Mailing address

11798 San Jose Blvd
Suite 2
Jacksonville, FL 32223
Phone (904) 371-4948

National Provider Directory

National Provider Directory

Locations

11798 San Jose Blvd
#2
Jacksonville, FL 32223
Phone (904) 371-4948

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497880819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11798 SAN JOSE BLVD",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32223",
            "telephone_number": "904-371-4948",
            "fax_number": "904-371-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11798 SAN JOSE BLVD",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32223",
            "telephone_number": "904-371-4948",
            "fax_number": "904-371-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISHMEAL MAJOR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "ISHMEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-254-9643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME94659",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.