Active NPI
Arthritis & Rheumatology Clinic PA
- Specialist
- Jacksonville, FL
National Provider Identifier
1699853044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME68949
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bshara Barakat, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME68949 | FL | Primary |
| Specialist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Jacksonville, FL
- NPI 1417911645
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.