Individual provider Active NPI

Esdra Jean Baptiste, M.D.

  • General Practice Physician
  • Lakeland, FL
National Provider Identifier
1669875670
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18853 Issued in PR
Practice address
4435 US Highway 98 N
Suit B
Lakeland, FL 33809-0402
Phone
(863) 858-8010
NPI assigned
Oct 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18853 PR Primary

Addresses

Primary practice location

4435 US Highway 98 N
Suit B
Lakeland, FL 33809-0402

Mailing address

5040 Long Lake Cir
304
Lakeland, FL 33805-9581
Phone (410) 845-9295

Other names 1

  • Dr. Esdra Jean Baptiste Professional name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18853PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1669875670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 LONG LAKE CIR",
            "address_2": "304",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338059581",
            "telephone_number": "410-845-9295",
            "fax_number": "863-582-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 US HIGHWAY 98 N",
            "address_2": "SUIT B",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338090402",
            "telephone_number": "863-858-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN BAPTISTE",
        "first_name": "ESDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESDRA",
            "last_name": "JEAN BAPTISTE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.