NPIMap

Organization Active NPI

McIver Urological Clinic

  • Urology Physician
  • Jacksonville, FL
National Provider Identifier
1922063924
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MCIVER UROLOGICAL CLINIC
Practice address
710 Lomax St
Jacksonville, FL 32204-4004
Phone
(904) 355-6583
Fax
(904) 355-4922
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Whittaker, MD
Title
President
Phone
(904) 355-6583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

710 Lomax St
Jacksonville, FL 32204-4004

Mailing address

710 Lomax St
Jacksonville, FL 32204-4004
Phone (904) 355-6583

National Provider Directory

National Provider Directory
Tax ID family
McIver Urological Clinic2 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.

Interoperability endpoints

  • Direct secure messaging: zacharydionise@miuc.allscriptsdirect.net
  • Direct secure messaging: haydenhill@miuc.allscriptsdirect.net
  • Direct secure messaging: shawnlax@miuc.allscriptsdirect.net
  • Direct secure messaging: travisallemang@miuc.allscriptsdirect.net
  • Direct secure messaging: douglasswartz@miuc.allscriptsdirect.net
  • Direct secure messaging: paulcrum@miuc.allscriptsdirect.net
  • Direct secure messaging: davidbargnesi@miuc.allscriptsdirect.net
  • Direct secure messaging: christophershawnwest@miuc.allscriptsdirect.net
  • Direct secure messaging: apoorvavashi@miuc.allscriptsdirect.net
  • Direct secure messaging: michaelkongnyuy@miuc.allscriptsdirect.net
  • Direct secure messaging: vasiljanakelly@miuc.allscriptsdirect.net
  • Direct secure messaging: clintoncollins@miuc.allscriptsdirect.net
  • Direct secure messaging: marcblasser@miuc.allscriptsdirect.net
  • Direct secure messaging: davidsellman@miuc.allscriptsdirect.net
  • Direct secure messaging: johnwilliams@miuc.allscriptsdirect.net
  • Direct secure messaging: charlescobb@miuc.allscriptsdirect.net
  • Direct secure messaging: christophermoore@miuc.allscriptsdirect.net
  • Direct secure messaging: mohammedmona@miuc.allscriptsdirect.net
  • Direct secure messaging: charlespruden@miuc.allscriptsdirect.net
  • Direct secure messaging: matthewnielsen@miuc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922063924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LOMAX ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044004",
            "telephone_number": "904-355-6583",
            "fax_number": "904-355-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LOMAX ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044004",
            "telephone_number": "904-355-6583",
            "fax_number": "904-355-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCIVER UROLOGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-355-6583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.