The Chesapeake Center

Primary specialty

Military HospitalTaxonomy code 286500000X

License

ARNP9230669 Issued in FL

Legal business name

THE CHESAPEAKE CENTER

Practice address

2080 Child St
Jacksonville, FL 32214-5005

Phone

(904) 542-7632

Fax

(904) 542-7623

NPI assigned

Jan 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. George Patrick Riley, CRNA

Title

Nurse Anesthetist

Phone

(904) 542-7632

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1138492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710958756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 YELLOW JASMINE LN",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320033370",
            "telephone_number": "904-269-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145005",
            "telephone_number": "904-542-7632",
            "fax_number": "904-542-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHESAPEAKE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "NURSE ANESTHETIST",
        "authorized_official_telephone_number": "904-542-7632",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "FL",
            "license": "ARNP9230669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Military Hospital in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Military Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.