Active NPI
Med-Care MD PA
- Adolescent Medicine (Internal Medicine) Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- ME0071493
- Legal business name
- MED-CARE MD PA
- Practice address
- 3661 Crown Point CT
Ste a
Jacksonville, FL 32257-5967 - Phone
- (904) 880-5220
- NPI assigned
- Nov 25, 2008
- Last updated
- Feb 8, 2010
- 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
- Dr. Ananthy Nallapillai, MD
- Title
- President
- Phone
- (904) 880-5220
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 |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | ME0071493 | FL | Primary |
Addresses
Primary practice location
3661 Crown Point CT
Ste a
Jacksonville, FL 32257-5967
Mailing address
13105 Cricket Cove Rd N
Jacksonville, FL 32224-8405
Phone (904) 880-5220
National Provider Directory
National Provider DirectoryLocations
3661 Crown Point Ct
Ste A
Jacksonville, FL 32257
Phone (904) 880-5220
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.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1023198009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265587200000",
"number": "1750536215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13105 CRICKET COVE RD N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322248405",
"telephone_number": "904-880-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 CROWN POINT CT",
"address_2": "STE A",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575967",
"telephone_number": "904-880-5220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-CARE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-25",
"last_updated": "2010-02-08",
"status": "A",
"authorized_official_last_name": "NALLAPILLAI",
"authorized_official_first_name": "ANANTHY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-880-5220",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "FL",
"license": "ME0071493",
"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 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.