CRYSTAL RIVER HMA PHYSICIAN MANAGEMENT LLC
NPI 1164188447
Surgery in Crystal River, FL

Q: What is Crystal River Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since November 11, 2021

1669 SE HWY 19, CRYSTAL RIVER, FL 34429(352) 563-2407(877) 892-9815 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Crystal River Hma Physician Management Llc NPPES

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

CRYSTAL RIVER HMA PHYSICIAN MANAGEMENT LLC (NPI 1164188447) is a healthcare organization registered as a surgery in Crystal River, Florida and active in the NPI registry since November 2021. The organization lists Jennifer L Jackson, Sr Dr. Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1164188447

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameCRYSTAL RIVER HMA PHYSICIAN MANAGEMENT LLC

Location Address1669 SE HWY 19Crystal River, FL 34429-4849

Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211 · Fax (615) 628-6877

Phone(352) 563-2407

Fax(877) 892-9815

Organization SubpartNo

Authorized OfficialJennifer L JacksonSr Dr. Prov Enrollment & Onboarding · (615) 465-3334

Enumeration DateNovember 11, 2021

Last NPPES UpdateMarch 14, 2022

NPPES CertifiedMarch 14, 2022

✔ NPI 1164188447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1669 SE HWY 19, Crystal River, FL 34429

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Other Names 1

Doing Business AsCrystal River Hma Physician Management Llc

Other Identifiers 1

MedicaidPENDINGFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal River Hma Physician Management LLC's NPI number?

The NPI number for Crystal River Hma Physician Management LLC is 1164188447. It was assigned to this organization in the NPPES registry on November 11, 2021.

Where is Crystal River Hma Physician Management LLC located?

Crystal River Hma Physician Management LLC is located at 1669 SE Hwy 19, Crystal River, FL 34429. The listed phone number is (352) 563-2407.

What is Crystal River Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Crystal River Hma Physician Management LLC was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.