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NPI 1144098195 · live from the CMS NPI Registry

Baptist MD Anderson Cancer Physicians INC

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jacksonville, FL. National Provider Identifier 1144098195, active.

NPI record

NPI1144098195 Type 2 · organization
StatusActive
Primary specialtyThoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
Practice location1301 Palm Ave Ste 600, Jacksonville, FL 32207
Practice phone904-202-7300
Mailing addressPo Box 746654, Atlanta, GA 30374
EnumeratedDecember 19, 2023
Last updatedApril 28, 2025
Authorized officialLeeann Mengel, Vice President

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Hematology207RH0000X—
Internal Medicine, Hematology & Oncology207RH0003X—
Internal Medicine, Hepatology207RI0008X—
Internal Medicine, Pulmonary Disease207RP1001X—
Internal Medicine, Medical Oncology207RX0202X—
Orthopaedic Surgery207X00000X—
Otolaryngology207Y00000X—
Otolaryngology, Plastic Surgery within the Head & Neck207YX0007X—
Surgery208600000X—
Surgery, Surgical Oncology2086X0206X—
Thoracic Surgery (Cardiothoracic Vascular Surgery) primary208G00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.