| Baptist Agewell Physicians Inc | |
|
3563 Philips Hwy Ste 101 Jacksonville FL 32207 | |
| (904) 202-1032 | |
| (904) 376-4107 |
| Full Name | Baptist Agewell Physicians Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3563 Philips Hwy Ste 101, Jacksonville, Florida |
| Authorized Official Name and Position | Marsha Donaldson (ADMINISTRATOR) |
| Authorized Official Contact | 9043763707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Agewell Physicians Inc Po Box 3162 Salt Lake City UT 84110-3162 Ph: (904) 202-1032 | Baptist Agewell Physicians Inc 3563 Philips Hwy Ste 101 Jacksonville FL 32207 Ph: (904) 202-1032 |
| NPI Number | 1306107099 |
|---|---|
| Provider Enumeration Date | 05/30/2012 |
| Last Update Date | 03/03/2021 |
| Medicare PECOS PAC ID | 0244480531 |
|---|---|
| Medicare Enrollment ID | O20121023000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306107099 | NPI | - | NPPES |
| Provider Name | Gerardo Baldassarri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275504581 PECOS PAC ID: 0244281855 Enrollment ID: I20050916000801 |
| Provider Name | Anna Orman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912975426 PECOS PAC ID: 0547265779 Enrollment ID: I20060922000040 |
| Provider Name | Norma Nestor-jean Claude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114962347 PECOS PAC ID: 0648277079 Enrollment ID: I20061027000353 |
| Provider Name | Angelica U Doloroso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194979393 PECOS PAC ID: 9436211778 Enrollment ID: I20081222000258 |
| Provider Name | Regina R Nolting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215062187 PECOS PAC ID: 3870648173 Enrollment ID: I20090910000626 |
| Provider Name | Alison A Bartfield |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811974454 PECOS PAC ID: 7113054487 Enrollment ID: I20100416000792 |
| Provider Name | Anne Elizabeth Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639480114 PECOS PAC ID: 3072639939 Enrollment ID: I20100928001289 |
| Provider Name | Regina Marie Bielawski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316943855 PECOS PAC ID: 9537354105 Enrollment ID: I20101109000255 |
| Provider Name | Mona I Chiribau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407035009 PECOS PAC ID: 1254514177 Enrollment ID: I20110330000176 |
| Provider Name | Margaret Leigh Ann Stachowiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083046346 PECOS PAC ID: 3072747963 Enrollment ID: I20131008001563 |
| Provider Name | Amy E Harp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760750566 PECOS PAC ID: 0749417665 Enrollment ID: I20150505002860 |
| Provider Name | Payal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477718799 PECOS PAC ID: 0648444976 Enrollment ID: I20150901003337 |
| Provider Name | Vanessa Seiglie Quinones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255647715 PECOS PAC ID: 0244527927 Enrollment ID: I20160923000200 |
| Provider Name | Anna Paola Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245615293 PECOS PAC ID: 0840590303 Enrollment ID: I20170127001776 |
| Provider Name | Lizza M Bojito-marrero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336442532 PECOS PAC ID: 6002087871 Enrollment ID: I20170614002135 |
| Provider Name | Rosemary T Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306392949 PECOS PAC ID: 9234427287 Enrollment ID: I20180718004017 |
| Provider Name | Beth Cummings |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982094751 PECOS PAC ID: 4688918881 Enrollment ID: I20181128002977 |
| Provider Name | Maia W Martinez-heath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821475328 PECOS PAC ID: 7810200342 Enrollment ID: I20181204002745 |
| Provider Name | Kristin Lee Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700357324 PECOS PAC ID: 8820321003 Enrollment ID: I20190603000832 |
| Provider Name | John D Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538779483 PECOS PAC ID: 0941627137 Enrollment ID: I20200902002229 |
| Provider Name | Selsabeel Elyaman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1871026377 PECOS PAC ID: 5698194223 Enrollment ID: I20210818002296 |
| Provider Name | Frances Maribel Gaudier-schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699441519 PECOS PAC ID: 9739586777 Enrollment ID: I20210917002607 |
| Provider Name | Lori Ann Watkins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023001898 PECOS PAC ID: 8527465079 Enrollment ID: I20210924003163 |
| Provider Name | Kayla G Jones |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508249871 PECOS PAC ID: 1355658444 Enrollment ID: I20210927000427 |
| Provider Name | Anjali Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922265123 PECOS PAC ID: 2860687977 Enrollment ID: I20220921003647 |
| Provider Name | Chelsea Taylor Moon-tison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073274403 PECOS PAC ID: 1658756838 Enrollment ID: I20220924000285 |
| Provider Name | Rasharia C Cason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063173045 PECOS PAC ID: 1456736636 Enrollment ID: I20220924000315 |
| Provider Name | Catherine M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144953324 PECOS PAC ID: 2961878921 Enrollment ID: I20221014002762 |
| Provider Name | Amanda Durden Quintana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932869559 PECOS PAC ID: 5698141661 Enrollment ID: I20221017000029 |
| Provider Name | Lauren H Bowen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265166532 PECOS PAC ID: 6800262882 Enrollment ID: I20221017000313 |
| Provider Name | Lauren Lynn Papalas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821758731 PECOS PAC ID: 5597131458 Enrollment ID: I20221018000423 |
| Provider Name | Ashlee Hutcheson Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811693252 PECOS PAC ID: 6305210212 Enrollment ID: I20230316000315 |
| Provider Name | Lisa Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952009771 PECOS PAC ID: 4284918475 Enrollment ID: I20230402000078 |
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