Active NPI
Telescope Health Medical Group KS, PA
- Emergency Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- TELESCOPE HEALTH MEDICAL GROUP KS, PA
- Practice address
- 841 Prudential Dr Unit 1410
Jacksonville, FL 32207-8364 - Phone
- (904) 373-5304
- Fax
- (904) 373-5303
- NPI assigned
- Feb 20, 2025
- 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
- Mrs. Matthew J Thompson, MD
- Title
- Ceo
- Phone
- (904) 373-5304
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
841 Prudential Dr Unit 1410
Jacksonville, FL 32207-8364
Mailing address
841 Prudential Dr Unit 1410
Jacksonville, FL 32207-8364
Phone (904) 373-5304
National Provider Directory
National Provider DirectoryLocations
841 Prudential Dr
Unit 1410
Jacksonville, FL 32207
Phone (904) 373-5304
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1225316912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740009600000",
"number": "1720884794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 PRUDENTIAL DR UNIT 1410",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078364",
"telephone_number": "904-373-5304",
"fax_number": "904-373-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 PRUDENTIAL DR UNIT 1410",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078364",
"telephone_number": "904-373-5304",
"fax_number": "904-373-5303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELESCOPE HEALTH MEDICAL GROUP KS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-373-5304",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"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 Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.