NPIMap

Individual provider Active NPI

Eric Matthew Gabriel, M.D.

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1609821545
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME80322 Issued in FL
Practice address
3 Shircliff Way
Suite 714
Jacksonville, FL 32204-4786
Phone
(904) 308-2006
Fax
(904) 308-7111
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME80322 FL Primary

Addresses

Primary practice location

3 Shircliff Way
Suite 714
Jacksonville, FL 32204-4786

Mailing address

3 Shircliff Way
Suite 714
Jacksonville, FL 32204-4786
Phone (904) 308-2006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000070 FL Practitioner - Neurosurgery 2163465832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

3 Shircliff Way
Dillion Building Suite 714
Jacksonville, FL 32204-4776
Phone (904) 308-2006

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion28
Laminectomy or laminotomy (partial removal of spine bones)17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME80322FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Sep 1, 2007 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Sep 1, 2007 Accepting new patients
Eric M. Gabriel, M.D., P.a. PastSince Apr 1, 2005 Accepting new patients

Locations

4205 Belfort Rd
Ste 4020
Jacksonville, FL 32216
Phone (904) 450-6020

3 Shircliff Way
Ste 714
Jacksonville, FL 32204
Phone (904) 305-1350

4205 Belfort Rd
Ste 1100
Jacksonville, FL 32216
Phone (904) 296-3103

4035 Southpoint Blvd
Jacksonville, FL 32216
Phone (833) 894-4420

2 Shircliff Way
Ste 200
Jacksonville, FL 32204
Phone (904) 308-2006

Interoperability endpoints

  • Direct secure messaging: eric.gabriel.1@8967.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1609821545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY",
            "address_2": "SUITE 714",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044786",
            "telephone_number": "904-308-2006",
            "fax_number": "904-308-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY",
            "address_2": "SUITE 714",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044786",
            "telephone_number": "904-308-2006",
            "fax_number": "904-308-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "ERIC",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME80322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.