Konika Schallen MD PA

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME 87598 Issued in FL

Legal business name

KONIKA SCHALLEN MD PA

Practice address

800 Prudential Dr
Jacksonville, FL 32207-8202

Phone

(904) 202-0246

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Konika Patel Schallen, MD

Title

President

Phone

(904) 346-5462

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932264033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 SUNNYSIDE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075237",
            "telephone_number": "904-346-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078202",
            "telephone_number": "904-202-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONIKA SCHALLEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHALLEN",
        "authorized_official_first_name": "KONIKA",
        "authorized_official_middle_name": "PATEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-346-5462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME 87598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srinivasa Rao Komirisetty
• Judy Kommareddy, PHARM D
• Nataliya Kondor, APRN
• Kongnyuy Urology PLLC
• Mark Konicki, MD
• Danielle Rayna Koontz
• Andree Hermes Koop, MD
• Kathleen Kopach, M.D.
• Christopher K Kopp, PT
• Jamie Holdman Kopp, LMHC

• Emergency Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Emergency Medicine Physician in Florida

• 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.