NPIMap

Organization Active NPI

Baptist Cardiology, Inc.

Doing business as Baptist Heart Specialists

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1619240603
Registry record updated May 6, 2020
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
3225 University Blvd S Ste 104
Jacksonville, FL 32216-2757
Phone
(904) 399-1171
Fax
(904) 727-3550
NPI assigned
Feb 22, 2012
Last updated
May 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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 Physician 207RC0000X Primary

Addresses

Primary practice location

3225 University Blvd S Ste 104
Jacksonville, FL 32216-2757

Mailing address

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

Other names 1

  • Baptist Heart Specialists Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1059414Baptist Cardiology Inc3225 University Blvd S Ste 104, Jacksonville, FL 32216Certificate of waiverSep 27, 2026

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

3225 University Blvd S
Ste 104
Jacksonville, FL 32216
Phone (904) 399-1171

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1619240603",
    "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": "3225 UNIVERSITY BLVD S STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162757",
            "telephone_number": "904-399-1171",
            "fax_number": "904-727-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST CARDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "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": "",
            "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"
        },
        {
            "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 May 6, 2020; 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.