JACKSONVILLE HEARING & BALANCE INSTITUTE – NPI #1417072190
Otolaryngology

An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

Health Care Provider Taxonomy Code for Otolaryngology

JACKSONVILLE HEARING & BALANCE INSTITUTE is an otolaryngologist located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1417072190 to JACKSONVILLE HEARING & BALANCE INSTITUTE on March 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JACKSONVILLE HEARING & BALANCE INSTITUTE” is a dba name, the actual legal business name for this organization is J DOUGLAS GREEN JR MD PA. The primary taxonomy selected by this provider is 207YX0901X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otology & Neurotology

The NPI profile was previously updated about 19 years ago on Aug 23, 2007. 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 JACKSONVILLE HEARING & BALANCE INSTITUTE below.

NPI Profile for
J DOUGLAS GREEN JR MD PA

NPI Number
1417072190
Enumeration Date

(more than 19 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
J DOUGLAS GREEN JR MD PA
Doing Business As (dba): JACKSONVILLE HEARING & BALANCE INSTITUTE
Primary location
10475 CENTURION PKWY N
SUITE 303
JACKSONVILLE, FL 32256
Phone: (904) 399-0350 Fax: (904) 399-5914
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
J GREEN
OTOLARYNGOLOGIST
Phone: (904) 399-0350
Updated
Identifiers

Identifiers for JACKSONVILLE HEARING & BALANCE INSTITUTE

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
MEDICAIDFL371813100FL
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
207YX0901X
- Otolaryngology / Otology & Neurotology (Primary)		 FL ME0058964

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.