MAX T BILLINGSLEY MD NPI 1003874363

Emergency Medicine (Emergency Medical Services) in Jacksonville, FL

About MAX BILLINGSLEY

Max Billingsley is a provider in Jacksonville, FL. The NPI number assigned to this provider is 1003874363. The practitioner's primary taxonomy code is Emergency Medicine (207PE0004X). The provider is registered as an individual and their NPI record was last updated 9 years ago.

NPI1003874363 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name MAX T BILLINGSLEY MD
Provider Location Address1 SHIRCLIFF WAY EMERGENCY DEPARTMENT JACKSONVILLE, FL 32204 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 863026 ORLANDO, FL 32886 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date05-03-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date12-01-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MAX T BILLINGSLEY MD
1 SHIRCLIFF WAY
EMERGENCY DEPARTMENT
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 346-5426
Fax: (904) 346-0113
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Mailing Address

MAX T BILLINGSLEY MD
PO BOX 863026
ORLANDO, FL
ZIP 32886
Phone: (904) 346-5426
Fax: (904) 346-0113

Primary Taxonomy

Taxonomy Code207PE0004X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationEmergency Medical Services
License No.ME0045015
License StateFL
Taxonomy DescriptionAn emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
14148OTHER (01)FL
044556800MEDICAID (05)FL
E12140MEDICARE UPIN (02)FL
930000750OTHER (01)FL
14148ZMEDICARE ID-TYPE UNSPECIFIED (04)FL

Map Location


MAX T BILLINGSLEY MD address is 1 SHIRCLIFF WAY EMERGENCY DEPARTMENT JACKSONVILLE, FL 32204

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083879308MS. CECILIA BERNADETTE HENNIG RD,LD/N,CDE
Individual
Dietitian, Registered1 SHIRCLIFF WAY SUITE 1830
JACKSONVILLE, FL 32204
(904) 308-8794
1114074200ST VINCENTS PATHOLOGY ASSOCIATES PA
Organization
Pathology (Anatomic Pathology & Clinical Pathology)1 SHIRCLIFF WAY DEPT OF PATHOLOGY
JACKSONVILLE, FL 32204
(904) 308-3802
1144564170 LAUREN BELL ARNP
Individual
Nurse Practitioner1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1174502926 JENNIFER WALKER PA
Individual
Physician Assistant1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1275529539MS. TRACEY J EISMONT PA
Individual
Physician Assistant1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1386616779 MICHAEL BENJAMIN LEHMAN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 SHIRCLIFF WAY DEPT OF PATHOLOGY
JACKSONVILLE, FL 32204
(904) 308-3825
1417187600 LAURA A ABNEY ARNP, FNP-BC
Individual
Nurse Practitioner (Family)1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1518014695 DON BERNARD DESTEPHANO MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 SHIRCLIFF WAY DEPT OF PATHOLOGY
JACKSONVILLE, FL 32204
(904) 308-3803
1528115201DR. RICARDO REGALADO RAMOS M,D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 SHIRCLIFF WAY DEPT OF PATHOLOGY
JACKSONVILLE, FL 32204
(904) 308-3886
1568781987MR. RICHARD FRANKLIN GOODWIN CRNA
Individual
Nurse Anesthetist, Certified Registered1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1619208923 STEPHANIE C BYWATER MS, OTR/L
Individual
Occupational Therapist1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 307-7300
1730174038 PHIL C PERRY MD
Individual
Anesthesiology1 SHIRCLIFF WAY SUITE 1302
JACKSONVILLE, FL 32204
(904) 308-7420
1770630857 BRIAN HOWARD VITSKY MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 SHIRCLIFF WAY DEPT OF PATHOLOGY
JACKSONVILLE, FL 32204
(904) 308-3802
1780670083 FRANK H GILBERSTADT MD
Individual
Emergency Medicine1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-7300
1801169412RICHARD G WALLIS MD PA
Organization
Anesthesiology1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 421-2119
1801943980 BRETT BENNETT CANTRELL MD
Individual
Pathology (Anatomic Pathology)1 SHIRCLIFF WAY DEPT OF PATHOLOGY
JACKSONVILLE, FL 32204
(904) 308-3804
1831246511 ANNE LAURELLE BERNSTEIN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1 SHIRCLIFF WAY DEPT OF PATHOLOGY
JACKSONVILLE, FL 32204
(904) 308-3813
1841452323DR. MICHELE MARIE LOUDY PHARMD
Individual
Pharmacist1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 308-8829
1942504055ST. VINCENT'S INTENSIVISTS, LLC
Organization
Internal Medicine (Critical Care Medicine)1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(904) 354-8200
1952397036 WILLIAM G DIETRICH MD
Individual
Emergency Medicine1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
(989) 356-7390