NPIMap

Organization Active NPI

Jesse P McRae M D P a

  • Specialist
  • Jacksonville, FL
National Provider Identifier
1750556114
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39207 Issued in FL
Legal business name
JESSE P MCRAE M D P A
Practice address
1727 Blanding Blvd Ste 101
Jacksonville, FL 32210-1949
Phone
(904) 384-3711
Fax
(904) 384-1513
NPI assigned
Apr 28, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Jesse P McRae, M.D.NPI 1942386230
Title
Physician
Phone
(904) 384-3711

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)CodeLicenseStatePrimary
Specialist 174400000X 39207 FL Primary

Addresses

Primary practice location

1727 Blanding Blvd Ste 101
Jacksonville, FL 32210-1949

Mailing address

1727 Blanding Blvd Ste 101
Jacksonville, FL 32210-1949
Phone (904) 384-3711

National Provider Directory

National Provider Directory

Locations

1727 Blanding Blvd
Ste 101
Jacksonville, FL 32210
Phone (904) 384-3711

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1750556114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 BLANDING BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101949",
            "telephone_number": "904-384-3711",
            "fax_number": "904-384-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 BLANDING BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101949",
            "telephone_number": "904-384-3711",
            "fax_number": "904-384-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE P MCRAE M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-384-3711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "39207",
            "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 Jun 30, 2008; 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.