Florida Urogynecology and Reconstructive Pelvic Surgery PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

FLORIDA UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY PA

Practice address

6885 Belfort Oaks PL
Suite 210
Jacksonville, FL 32216-6234

Phone

(904) 652-0373

Fax

(904) 652-0378

NPI assigned

Mar 6, 2007

Last updated

Mar 27, 2008By 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

Jason R Thompson, MDNPI 1306916580

Title

President

Phone

(904) 653-0373

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Jason R Thompson, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Jacksonville, FL
  • NPI 1306916580
  NPD (past) Authorized official
• Karen Voncille Bryant, PA-C

  • Medical Physician Assistant
  • Jacksonville, FL
  • NPI 1346221249
  NPD (past)
• Steve Eric Goldwasser, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • St Augustine, FL
  • NPI 1467427633
  NPD (past)
• Jeanie Summerville, ARNP, CNM

  • Advanced Practice Midwife
  • Jacksonville, FL
  • NPI 1861442352
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1497885149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 BELFORT OAKS PL",
            "address_2": "SUITE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166234",
            "telephone_number": "904-652-0373",
            "fax_number": "904-652-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 BELFORT OAKS PL",
            "address_2": "SUITE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166234",
            "telephone_number": "904-652-0373",
            "fax_number": "904-652-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA UROGYNECOLOGY AND RECONSTRUCTIVE PELVIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-653-0373",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Sun Transportation LLC
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• Florida Surgical Specialty Associates LLC
• Florida Therapy & Evaluation Services LLC
• Florida Therapy Solutions, Inc.
• Florida Woman Care LLC
• Florida Woman Care LLC
• Florida Woman Care LLC
• Florida Woman Care LLC
• Florida Woman Care, LLC

• Gynecology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.