BAPTIST MD ANDERSON CANCER PHYSICIANS INC
NPI 1144098195
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jacksonville, FL

Q: What is Baptist MD Anderson Cancer Physicians Inc's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since December 19, 2023CLIA Certified · 3 labs

1301 PALM AVE STE 600, JACKSONVILLE, FL 32207(904) 202-7300(904) 202-2754 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Baptist Md Anderson Cancer Physicians Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAPTIST MD ANDERSON CANCER PHYSICIANS INC (NPI 1144098195) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Jacksonville, Florida and active in the NPI registry since December 2023. The organization holds 3 active CLIA laboratory certificates and lists Leeann Mengel, Vice President, as its authorized official.

NPPES Registry Identity

NPI1144098195

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameBAPTIST MD ANDERSON CANCER PHYSICIANS INC

Location Address1301 PALM AVE STE 600Jacksonville, FL 32207-8432

Mailing AddressPo Box 746654Atlanta, GA 30374-6654 · (904) 202-2092 · Fax (904) 376-4075

Phone(904) 202-7300

Fax(904) 202-2754

Organization SubpartNo

Authorized OfficialLeeann MengelVice President · (904) 202-7300

Enumeration DateDecember 19, 2023

Last NPPES UpdateApril 28, 2025

NPPES CertifiedApril 28, 2025

✔ NPI 1144098195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X

1301 PALM AVE STE 600, Jacksonville, FL 32207

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2282166

Baptist MD Anderson Cancer Physicians Inc · Jacksonville, FL

Active · expires May 16, 2027

CLIA Number10D2282166

Laboratory TypePhysician Office

Certificate Effective DateMay 17, 2025

Certificate Expiration DateMay 16, 2027

Laboratory DirectorKimberly Labree

Laboratory Phone(904) 202-7397

Laboratory LocationBaptist MD Anderson Cancer Physicians Inc1301 Palm Avenue, 7th Floor, Jacksonville, FL 32207

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2282169

Baptist MD Anderson Cancer Physicians Inc · Jacksonville, FL

Active · expires May 16, 2027

CLIA Number10D2282169

Laboratory TypePhysician Office

Certificate Effective DateMay 17, 2025

Certificate Expiration DateMay 16, 2027

Laboratory DirectorKimberly Labree

Laboratory Phone(904) 202-7397

Laboratory LocationBaptist MD Anderson Cancer Physicians Inc1301 Palm Avenue, 5th Floor, Jacksonville, FL 32207

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2282170

Baptist MD Anderson Cancer Physicians, Inc · Jacksonville, FL

Active · expires May 16, 2027

CLIA Number10D2282170

Laboratory TypePhysician Office

Certificate Effective DateMay 17, 2025

Certificate Expiration DateMay 16, 2027

Laboratory DirectorKimberly Labree

Laboratory Phone(904) 202-7397

Laboratory LocationBaptist MD Anderson Cancer Physicians, Inc1301 Palm Avenue, 6th Floor, Jacksonville, FL 32207

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOHAMMED A T ALQAWASMA MD

Internal Medicine (Pulmonary Disease)