BAPTIST SPECIALTY PHYSICIANS INC – NPI #1104490416
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Health Care Provider Taxonomy Code for Pediatrics

BAPTIST SPECIALTY PHYSICIANS INC is a provider located in DAYTONA BEACH, FL. NPPES has assigned the NPI number 1104490416 to BAPTIST SPECIALTY PHYSICIANS INC on May 20, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

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 SPECIALTY PHYSICIANS INC below.

NPI Profile for
BAPTIST SPECIALTY PHYSICIANS INC

NPI Number
1104490416
Enumeration Date

(more than 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
BAPTIST SPECIALTY PHYSICIANS INC
Primary location
1219 DUNN AVE
DAYTONA BEACH, FL 32114-2405
Phone: (904) 202-8550 Fax: (904) 393-7808
Mailing address
PO BOX 44047
JACKSONVILLE, FL 32231-4047
Phone: (904) 376-4083 Fax: (904) 391-5075
Organization Subpart
No
Authorized Official
THABATA FORD
VICE PRESIDENT
Phone: (904) 391-5578
Updated
Certification Date
May 20, 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
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)
207RC0000X
- Internal Medicine / Cardiovascular Disease
207RA0002X
- Internal Medicine / Adult Congenital Heart Disease

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.