Organization Active NPI

Alejandro a Radi MD PA

  • Gastroenterology Physician
  • Jacksonville, FL
National Provider Identifier
1871815290
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ALEJANDRO A RADI MD PA
Practice address
3599 University Blvd S Ste 8
Jacksonville, FL 32216-4211
Phone
(907) 398-7001
Fax
(904) 398-0780
NPI assigned
Feb 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Alejandro Antonio Radi, M.D.NPI 1821081183
Title
President
Phone
(904) 398-7001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

3599 University Blvd S Ste 8
Jacksonville, FL 32216-4211

Mailing address

3599 University Blvd S Ste 8
Jacksonville, FL 32216-4211
Phone (907) 398-7001

Other identifiers 1

IdentifierTypeStateIssuer
036393600MedicaidFL

National Provider Directory

National Provider Directory

Locations

3599 University Blvd S
Ste 8
Jacksonville, FL 32216
Phone (904) 240-4222

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1871815290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164211",
            "telephone_number": "907-398-7001",
            "fax_number": "904-398-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S STE 8",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164211",
            "telephone_number": "907-398-7001",
            "fax_number": "904-398-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEJANDRO A RADI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "RADI",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-398-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036393600",
            "state": "FL"
        }
    ],
    "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 Jul 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.

Verify at the official NPI Registry.