NPIMap

Organization Active NPI

Baptist Cardiology, Inc.

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1790743854
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BAPTIST CARDIOLOGY, INC.
Practice address
1905 Corporate Square Blvd
Jacksonville, FL 32216-1940
Phone
(904) 720-0599
Fax
(904) 720-5225
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Mark Masters
Title
Cao
Phone
(904) 720-0799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1905 Corporate Square Blvd
Jacksonville, FL 32216-1940

Mailing address

1905 Corporate Square Blvd
Jacksonville, FL 32216-1940
Phone (904) 720-0799

Other identifiers 1

IdentifierTypeStateIssuer
374770100MedicaidFL

Other names 1

  • Baptist Heart Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baptist Cardiology Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

10337 San Jose Blvd
Ste 100
Jacksonville, FL 32257
Phone (904) 241-4171

836 Prudential Dr
Ste 700
Jacksonville, FL 32207
Phone (904) 398-0138

1885 Corporate Square Blvd
Jacksonville, FL 32216
Phone (904) 720-0599

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1790743854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CORPORATE SQUARE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161940",
            "telephone_number": "904-720-0799",
            "fax_number": "904-720-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CORPORATE SQUARE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161940",
            "telephone_number": "904-720-0599",
            "fax_number": "904-720-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST CARDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "904-720-0799"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374770100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Heart Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 17, 2012; 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.