NPIMap

Organization Active NPI

Baptist Cardiology Inc

  • Cardiovascular Disease Physician
  • Fleming Island, FL
National Provider Identifier
1881937993
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
000000000000000 Issued in FL
Legal business name
BAPTIST CARDIOLOGY INC
Practice address
1771 Baptist Clay Drive
Suite 310
Fleming Island, FL 32003-8501
Phone
(904) 398-0998
Fax
(904) 398-8481
NPI assigned
Mar 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Mark A Masters, PHD
Title
Executive Director
Phone
(904) 720-0799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 000000000000000 FL Primary

Addresses

Primary practice location

1771 Baptist Clay Drive
Suite 310
Fleming Island, FL 32003-8501

Mailing address

1771 Baptist Clay Drive
Suite 310
Fleming Island, FL 32003-8501
Phone (904) 398-0998

Other identifiers 1

IdentifierTypeStateIssuer
004946600MedicaidFL

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

1771 Baptist Clay Dr
Ste 310
Fleming Island, FL 32003
Phone (904) 398-0998

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1881937993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 BAPTIST CLAY DRIVE",
            "address_2": "SUITE 310",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038501",
            "telephone_number": "904-398-0998",
            "fax_number": "904-398-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 BAPTIST CLAY DRIVE",
            "address_2": "SUITE 310",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038501",
            "telephone_number": "904-398-0998",
            "fax_number": "904-398-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST CARDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-720-0799",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "000000000000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004946600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.