Julington Creek Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME74170 Issued in FL

Legal business name

JULINGTON CREEK PEDIATRICS

Practice address

774 State Road 13
Suite 6
Saint Johns, FL 32259-3857

Phone

(904) 230-5437

Fax

(904) 230-7337

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria Mosteller, MD

Title

Pediatric Physician

Phone

(904) 230-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Julington Creek Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Julington Creek Pediatrics

  • Preferred Provider Organization
  • Jacksonville, FL
  • NPI 1891188173
  NPD tax ID

Practitioners 1

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

• Victoria Cole Helow, M.D.

  • Specialist
  • Jacksonville, FL
  • NPI 1679682264
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1902124522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 STATE ROAD 13",
            "address_2": "SUITE 6",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593857",
            "telephone_number": "904-230-5437",
            "fax_number": "904-230-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 STATE ROAD 13",
            "address_2": "SUITE 6",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593857",
            "telephone_number": "904-230-5437",
            "fax_number": "904-230-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULINGTON CREEK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "MOSTELLER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PEDIATRIC PHYSICIAN",
        "authorized_official_telephone_number": "904-230-5437",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME74170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1679682264",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Johnson, PHARMD
• Merranda Jones
• Patrick Emerson Jones, MD
• Bradford Warner Joseph, MD
• Demetria C Juber, PT, DPT
• Julington Creek Speech Therapy, LLC
• Karing Mobility Transportation, LLC
• Sina Kasraeian, MD
• Annaliyah Jennell Keith, BEHAVIOR TECHNICIAN
• Moira Ann Kelley, LMHC

• Specialist in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.