Organization Active NPI

Arthritis & Rheumatology Clinic PA

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1699853044
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME68949 Issued in FL
Legal business name
ARTHRITIS & RHEUMATOLOGY CLINIC PA
Practice address
2119 Oak St
Jacksonville, FL 32204-4410
Phone
(904) 389-2707
Fax
(904) 389-7009
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Bshara Barakat, MDNPI 1518921360
Title
President
Phone
(904) 389-2707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME68949 FL Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME75096 FL

Addresses

Primary practice location

2119 Oak St
Jacksonville, FL 32204-4410

Mailing address

2119 Oak St
Jacksonville, FL 32204-4410
Phone (904) 389-2707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120112000588 FL Part B Supplier - Clinic/Group Practice 8921275041 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL; St. Augustine, FL

National Provider Directory

National Provider Directory

Locations

2119 Oak St
Jacksonville, FL 32204
Phone (904) 389-2300

100 Whetstone Pl
Ste 210
St Augustine, FL 32086
Phone (904) 501-0846

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1699853044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 OAK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044410",
            "telephone_number": "904-389-2707",
            "fax_number": "904-389-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 OAK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044410",
            "telephone_number": "904-389-2707",
            "fax_number": "904-389-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS & RHEUMATOLOGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "BARAKAT",
        "authorized_official_first_name": "BSHARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-389-2707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME68949",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME75096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.