JAX OB-GYN PA – NPI #1891012365
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

JAX OB-GYN PA is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1891012365 to JAX OB-GYN PA on April 23, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. JAX OB-GYN PA is also known by the name HORMOZ KHOSRAVI, MD. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 14 years ago on Dec 30, 2011. 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 JAX OB-GYN PA below.

NPI Profile for
JAX OB-GYN PA

NPI Number
1891012365
Enumeration Date

(more than 16 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
JAX OB-GYN PA
Other Name: HORMOZ KHOSRAVI, MD
Primary location
4123 UNIVERSITY BLVD S.
SUITE D
JACKSONVILLE, FL 32216
Phone: (904) 737-1920 Fax: (904) 737-8932
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HORMOZ KHOSRAVI
DR./OWNER
Phone: (904) 737-1920
Updated
Identifiers

Identifiers for JAX OB-GYN PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL037158100
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
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)		 FL ME32812

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.