Active NPI
Richard Postlethwait, PA
- Physician Assistant
- Jacksonville, FL
National Provider Identifier
1568435246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9102584
- Practice address
- 836 Prudential Dr
Ufjp Neurosurgery Pediatrics
Jacksonville, FL 32207-8334 - Phone
- (904) 398-5021
- Fax
- (904) 244-3426
- NPI assigned
- Feb 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9102584 | FL | Primary |
Addresses
Primary practice location
836 Prudential Dr
Ufjp Neurosurgery Pediatrics
Jacksonville, FL 32207-8334
Mailing address
PO Box 44008
Ufjp Neurosurgery Pediatrics
Jacksonville, FL 32231-4008
Phone (904) 244-3660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 989816651A | Medicaid | GA | |
| 2916746-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1568435246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44008",
"address_2": "UFJP NEUROSURGERY PEDIATRICS",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314008",
"telephone_number": "904-244-3660",
"fax_number": "904-244-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 PRUDENTIAL DR",
"address_2": "UFJP NEUROSURGERY PEDIATRICS",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078334",
"telephone_number": "904-398-5021",
"fax_number": "904-244-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSTLETHWAIT",
"first_name": "RICHARD",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-11",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9102584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "989816651A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2916746-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
- Post Acute Care Specialists LLC
- Post Surgical Services LLC
- Katrin Post-Martens, M.D.
- Kathryn Spencer Post, LMHC
- Michelle A Post, LMFT, CTBS
- Postpartum Jax, LLC
- Elizabeth Ann Postupack, NURSE PRACTITIONER
- Samuel Benjamin Posze, DDS
- Potatohead Properties LLC
- Potential Pediatric Occupational Therapy Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.