James Emmett Kaelin, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME0023670 Issued in FL

Practice address

1715 Village Way
Orange Park, FL 32073-5263

Phone

(904) 264-8418

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Urology Assoc. of N.E. Florida

  • Urology Physician
  • Orange Park, FL
  • NPI 1447235411
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962487033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 VILLAGE WAY",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735263",
            "telephone_number": "904-264-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 VILLAGE WAY",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735263",
            "telephone_number": "904-264-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAELIN",
        "first_name": "JAMES",
        "middle_name": "EMMETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME0023670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jsa Consultants LLC
• Hannah Judd, M.S., CCC-SLP
• Cameron Juneau
• Erica Ann Justavino, MSW
• Jennifer Amanda Justice, DPT, SCS
• Silvia Kaelin
• Josephine Kaidy, DPT
• Beth E. Kailes, DMD
• Steven Benjamin Kailes, M.D.
• Jessica Lynn Kalarovich

• Urology Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.