BAPTIST MD ANDERSON CANCER PHYSICIANS – NPI #1083153365
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

BAPTIST MD ANDERSON CANCER PHYSICIANS is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1083153365 to BAPTIST MD ANDERSON CANCER PHYSICIANS on February 20, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BAPTIST MD ANDERSON CANCER PHYSICIANS” is a dba name, the actual legal business name for this organization is BAPTIST MD ANDERSON CANCER PHYSICIANS INC. The primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 3 years ago on Apr 10, 2023. 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 BAPTIST MD ANDERSON CANCER PHYSICIANS below.

NPI Profile for
BAPTIST MD ANDERSON CANCER PHYSICIANS INC

NPI Number
1083153365
Enumeration Date

(more than 9 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
BAPTIST MD ANDERSON CANCER PHYSICIANS INC
Doing Business As (dba): BAPTIST MD ANDERSON CANCER PHYSICIANS
Primary location
14540 OLD SAINT AUGUSTINE RD
SUITE 2593
JACKSONVILLE, FL 32258-7418
Phone: (904) 389-3993 Fax: (904) 389-3994
Mailing address
PO BOX 746654
ATLANTA, GA 30374-6654
Phone: (904) 202-2092 Fax: (904) 393-7603
Organization Subpart
No
Authorized Official
LEEANN MENGEL
ADMINISTRATOR
Phone: (904) 202-7300
Updated
Certification Date
Apr 10, 2023

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.

Identifiers

Identifiers for BAPTIST MD ANDERSON CANCER PHYSICIANS

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
otherRR MEDICAREFLDU3570
medicaidFL009942200
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
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)
FL

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.