| Hospital Specialists Inc | |
|
800 Prudential Dr Jacksonville FL 32207-8202 | |
| (904) 281-0944 | |
| (904) 281-5356 |
| Full Name | Hospital Specialists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 Prudential Dr, Jacksonville, Florida |
| Authorized Official Name and Position | Nasrullah Ghafoor (CEO) |
| Authorized Official Contact | 9042810944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Specialists Inc 4466 Swilcan Bridge Ln N Jacksonville FL 32224-5617 Ph: (904) 281-0944 | Hospital Specialists Inc 800 Prudential Dr Jacksonville FL 32207-8202 Ph: (904) 281-0944 |
| NPI Number | 1144265257 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 7810964863 |
|---|---|
| Medicare Enrollment ID | O20040910000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144265257 | NPI | - | NPPES |
| 277558100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nasrullah Ghafoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972585081 PECOS PAC ID: 5698742641 Enrollment ID: I20040916000564 |
| Provider Name | Steve S. Beiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447262274 PECOS PAC ID: 0042382400 Enrollment ID: I20080701000211 |
| Provider Name | Ateeque R Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487689808 PECOS PAC ID: 3274563705 Enrollment ID: I20080905000277 |
| Provider Name | Lee H Peck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619959749 PECOS PAC ID: 8325084668 Enrollment ID: I20090430000442 |
| Provider Name | Laura A. Abney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417187600 PECOS PAC ID: 8123210879 Enrollment ID: I20101013000393 |
| Provider Name | Kelvin James Wiley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194810481 PECOS PAC ID: 3971604638 Enrollment ID: I20121011000564 |
| Provider Name | Diane Carol Vanhorne-padilla |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457467045 PECOS PAC ID: 6800036427 Enrollment ID: I20130702000658 |
| Provider Name | Jeanna Rangbaran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699115436 PECOS PAC ID: 7315164076 Enrollment ID: I20140804002459 |
| Provider Name | Rahul Gujarathi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487934568 PECOS PAC ID: 8527285600 Enrollment ID: I20140813002103 |
| Provider Name | Laelisha Brenea Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306399126 PECOS PAC ID: 5294022133 Enrollment ID: I20160921001098 |
| Provider Name | Katherine A Jewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336673003 PECOS PAC ID: 2264707173 Enrollment ID: I20171003005743 |
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