Kerry Mark Bachista in Jacksonville - Emergency Medicine
Kerry Mark Bachista - NPI 1891845798
Kerry Mark Bachista is a Emergency Medicine in Jacksonville, Florida. Kerry Mark Bachista practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Kerry Mark Bachista is 1891845798. The last update date is 2022-11-17.
Kerry Mark Bachista's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Kerry Mark Bachista is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Mark Bachista |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1891845798 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2022-11-17 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | ME101449 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2813769-00 | FL | -- | |
| 41057 | FL | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Kerry Mark Bachista by the Centers for Medicare & Medicaid Services?
The Kerry Mark Bachista has been issued the NPI (National Provider Identifier) 1891845798. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kerry Mark Bachista?
The Kerry Mark Bachista is situated at 4500 San Pablo Rd S, in the city of Jacksonville, state of FL, with the zip code 322241865.
What is the Kerry Mark Bachista's area of specialization and corresponding taxonomy classification?
The Kerry Mark Bachista's specialty field is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their specialties.
On what date did Kerry Mark Bachista receive its 1891845798 assignment from the Centers for Medicare & Medicaid Services?
The Kerry Mark Bachista was assigned its 1891845798 on 2007-01-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kerry Mark Bachista most recently updated or revised?
The information pertaining to Kerry Mark Bachista, including its address, specialty, and other relevant details, was last updated or revised on 2022-11-17.