NPI 1609644657 · live from the CMS NPI Registry
Baptist MD Anderson Cancer Physicians INC
Urology in Jacksonville, FL. National Provider Identifier 1609644657, active.
NPI record
| NPI | 1609644657 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Urology 208800000X |
| Practice location | 1301 Palm Ave Ste 500, Jacksonville, FL 32207 |
| Practice phone | 904-202-7300 |
| Mailing address | Po Box 746654, Atlanta, GA 30374 |
| Enumerated | December 19, 2023 |
| Last updated | August 10, 2026 |
| Authorized official | Leeann Mengel, Vice President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | — |
| Internal Medicine, Hepatology | 207RI0008X | — |
| Surgery | 208600000X | — |
| Surgery, Surgical Oncology | 2086X0206X | — |
| Urology primary | 208800000X | — |
| Colon & Rectal Surgery | 208C00000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.