ISSA.MED P.A. – NPI #1376217364
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

ISSA.MED P.A. is a provider located in PENNEY FARMS, FL. NPPES has assigned the NPI number 1376217364 to ISSA.MED P.A. on August 04, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ISSA.MED P.A. below.

NPI Profile for
ISSA.MED P.A.

NPI Number
1376217364
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ISSA.MED P.A.
Primary location
2 PAVILLION PLACE
PENNEY FARMS, FL 32079
Phone: (217) 416-6431 Fax:
4 Other location(s):
3465 Caroline Blvd
Penney Farms, FL 32079
Phone: (217) 416-6431
3497 Caroline Blvd
Penney Farms, FL 32079
Phone: (217) 416-6431
4410 Lewis Ave
Penney Farms, FL 32079
Phone: (217) 416-6431
4510 Lewis Ave
Penney Farms, FL 32079
Phone: (217) 416-6431
Mailing address
1907 ATLANTIC BLVD STE 1
JACKSONVILLE, FL 32207-3405
Phone: Fax:
Organization Subpart
No
Authorized Official
HANI ISSA
PRESIDENT
Phone: (217) 416-6431
Updated
Certification Date
Jul 09, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
E-clinical
Endpoint type
FHIR URL
Endpoint Description
EHR
Content Type
CSV
Affiliation
N
Endpoint Location
2 PAVILLION PLACE,
PENNEY FARMS, FL 77025-1669