NAVAL HOSPITAL JACKSONVILLE - NPI 1265411383 - Emergency Medicine in Jacksonville, FL

Q: What is Naval Hospital Jacksonville's NPI number?

The NPI number for Naval Hospital Jacksonville is 1265411383. It was assigned to this organization in the NPPES registry on January 17, 2006.

Q: What is Naval Hospital Jacksonville's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

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About Naval Hospital Jacksonville NPPES

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

NAVAL HOSPITAL JACKSONVILLE (NPI 1265411383) is a healthcare organization registered as an emergency medicine in Jacksonville, Florida and active in the NPI registry since January 2006. The organization lists Elaine Wagner, Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1265411383

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameNAVAL HOSPITAL JACKSONVILLE

Location Address2080 CHILD STJacksonville, FL 32214-5005

Mailing Address2080 Child StJacksonville, FL 32214-5005 · (904) 542-7787 · Fax (904) 542-7651

Phone(904) 542-7787

Fax(904) 542-7651

Organization SubpartNo

Authorized OfficialElaine WagnerExecutive Officer · (904) 542-7312

Enumeration DateJanuary 17, 2006

Last NPPES UpdateJune 18, 2008

✔ NPI 1265411383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TX · J0352

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2080 CHILD ST, Jacksonville, FL 32214

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Other Identifiers 1

Medicare UPINVAD0000FL

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

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.

MR. STEVEN LEE UNDHEIM IDC

Military Health Care Provider (Independent Duty Corpsman)