NPIMap

Organization Active NPI

Baptist Cardiology, Inc.

Doing business as Baptist Heart Specialists

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1588937619
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BAPTIST CARDIOLOGY, INC.
Doing business as
Baptist Heart Specialists
Practice address
820 Prudential Dr
Suite 112
Jacksonville, FL 32207-8210
Phone
(904) 396-5996
Fax
(904) 398-2480
NPI assigned
Feb 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Mark Masters, PHD
Title
Executive Director
Phone
(904) 720-0799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

820 Prudential Dr
Suite 112
Jacksonville, FL 32207-8210

Mailing address

3563 Phillips Hwy
Suite 101
Jacksonville, FL 32207-5663
Phone (904) 720-0799

Other names 1

  • Baptist Heart Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baptist Cardiology Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

820 Prudential Dr
Ste 112
Jacksonville, FL 32207
Phone (904) 396-5996

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1588937619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3563 PHILLIPS HWY",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075663",
            "telephone_number": "904-720-0799",
            "fax_number": "904-720-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR",
            "address_2": "SUITE 112",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078210",
            "telephone_number": "904-396-5996",
            "fax_number": "904-398-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST CARDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-720-0799",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Heart Specialists",
            "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 Feb 21, 2012; 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.