Thoracic Surgery (Cardiothoracic Vascular Surgery) in JACKSONVILLE, FL
Last Updated on : Nov 07,2007
MICHAEL KENNETH BLUETT is a Thoracic Surgery (Cardiothoracic Vascular Surgery) provider in JACKSONVILLE, United States. His medical specialization is Thoracic Surgery (Cardiothoracic Vascular Surgery) .
1619979861 is NPI number of MICHAEL KENNETH BLUETT.
MICHAEL KENNETH BLUETT's primary taxonomy code based on NPI Lookup is 208G00000X with license number ME52968. This taxonomy code refers to Thoracic Surgery (Cardiothoracic Vascular Surgery).
MICHAEL KENNETH BLUETT has more than 17 years of experience.
MICHAEL KENNETH BLUETT current practice location address is 1824 KING ST, JACKSONVILLE, FL. MICHAEL KENNETH BLUETT can be reached out via phone at 904-421-5586 and via fax at 904-389-6748 .
You can also correspond with MICHAEL KENNETH BLUETT through mail at mailing address 1824 KING ST, JACKSONVILLE, FL, United States. Mailing address contact number is 904-421-5586.
The enumeration date of MICHAEL KENNETH BLUETT is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 16 years ago.Basic NPI information of MICHAEL KENNETH BLUETT (NPI 1619979861) is provided below.
Name | MICHAEL KENNETH BLUETT |
---|---|
National Provider Id (NPI) | 1619979861 |
Entity Type | Individual |
Gender | M |
Credential | M.D. |
Practice Address | 1824 KING ST,
SUITE 200
JACKSONVILLE, FL, United States |
Practice Telephone | 904-421-5586 |
Practice Fax Number | 904-389-6748 |
Mailing Address | 1824 KING ST ,
SUITE 200
JACKSONVILLE, FL, United States |
Mailing Telephone | 904-421-5586 |
Mailing Fax Number | 904-389-6748 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 07-Nov-2007 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME52968 | FL |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
047955100 | MEDICAID (05) | FL | |
05833X | MEDICARE PIN (08) | FL | |
330005516 | Other (non-Medicare) (01) | MEDICARE RAILROAD | |
A96932 | MEDICARE UPIN (02) | FL |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1528107505 | .MARTHA'S GROUP HOMES, INC. | Community Based Residential Treatment Facility, Mental Illness | 516 E SPRINGHILL TER,
JACKSONVILLE, NC, United States |
06-Feb-2007 |
1669741302 | 11565 HARTS ROAD OPERATIONS LLC | Skilled Nursing Facility | 11565 HARTS RD,
JACKSONVILLE, FL, United States |
27-Dec-2011 |
1124610092 | 123 BUTTERFLY EFFECTS L.L.C | Nursing Care | 6619 ALBICORE RD,
JACKSONVILLE, FL, United States |
10-Feb-2021 |
1215101902 | 21ST CENTURY ONCOLOGY OF JACKSONVILLE LLC | Surgery, Surgical Oncology | 2234 COLONIAL BLVD,
FORT MYERS, FL, United States |
15-Apr-2008 |
1689805293 | 2B2E, INC. | Home Health | 4651 SALISBURY RD,
#475 JACKSONVILLE, FL, United States |
30-Jul-2009 |
1265104855 | 2HELPING HANDS NURSES, LLC | Nursing Care | 10151 DEERWOOD PARK BLVD BUILDING 200,
STE 250 JACKSONVILLE, FL, United States |
01-Oct-2021 |
1194950907 | 30 MINUTE MEDICAL LLC | Clinic/Center, Urgent Care | 8540 ARGYLE FOREST BLVD,
5 JACKSONVILLE, FL, United States |
22-May-2009 |
1942515804 | 30 MINUTE MEDICAL PRIMARY CARE | Internal Medicine | 8540 ARGYLE FOREST BLVD.,
SUITE 6 JACKSONVILLE, FL, United States |
16-Aug-2010 |
1659996999 | 3D BRIGHTER HOPE CARE LLC | In Home Supportive Care | 2946 W 6TH ST,
JACKSONVILLE, FL, United States |
12-Jun-2020 |
1942859418 | 3D SMILE INC | Clinic/Center, Dental | 8708 PERIMETER PARK BLVD STE 1,
JACKSONVILLE, FL, United States |
08-Sep-2019 |
1922581925 | 5888 GOLDEN LLC | Skilled Nursing Facility | 6511 NOVA DR STE 168,
DAVIE, FL, United States |
14-Sep-2018 |
1699487678 | 904 HEALTH, INC | Internal Medicine, Infectious Disease | 96040 LOFTON SQUARE CT,
YULEE, FL, United States |
21-Dec-2022 |
1700549136 | 904 IMPLANTS AND DENTURES PLLC | Clinic/Center, Dental | 11645 BEACH BLVD STE 101,
JACKSONVILLE, FL, United States |
21-Oct-2021 |
1568731206 | 9355 SAN JOSE BOULEVARD OPERATIONS LLC | Skilled Nursing Facility | 9355 SAN JOSE BLVD,
JACKSONVILLE, FL, United States |
27-Dec-2011 |
1265737886 | A & R SUPPORT SERVICES LLC | Day Training, Developmentally Disabled Services | 3309 POST ST APT 2,
JACKSONVILLE, FL, United States |
12-Jan-2011 |
1538730650 | A & S HOME CARING INC | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 11496 JOHNSON CREEK CIR,
JACKSONVILLE, FL, United States |
09-Jul-2021 |
1114625050 | A 1 COMPLETE CARE LLC | Day Training, Developmentally Disabled Services | 4541 SHIRLEY AVE STE 4,
JACKSONVILLE, FL, United States |
20-Feb-2023 |
1528516507 | A A ANOINTED CARE | Day Training, Developmentally Disabled Services | 1365 HELENA ST,
JACKSONVILLE, FL, United States |
19-Sep-2016 |
1396283628 | A ABDALLA, INC | Internal Medicine, Nephrology | 7603 LEM TURNER RD,
JACKSONVILLE, FL, United States |
07-Feb-2017 |
1922172964 | A BEACON OF HOPE, HABILITATIVE SERVICES, LLC | Case Management | 2782 DAWSON CABIN RD,
JACKSONVILLE, NC, United States |
20-Nov-2006 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1619979861 is the NPI number of MICHAEL KENNETH BLUETT.
What is the specialty for MICHAEL KENNETH BLUETT?The Specialty of MICHAEL KENNETH BLUETT is Thoracic Surgery (Cardiothoracic Vascular Surgery).
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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