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NPI Code Detail

MEDICARE: BAPTIST MD ANDERSON CANCER PHYSICIANS INC

MEDICARE: BAPTIST MD ANDERSON CANCER PHYSICIANS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician
2363L00000XNurse Practitioner
3363A00000XPhysician Assistant
42086X0206XSurgical Oncology Physician
5207VG0400XGynecology Physician
6207VX0201XGynecologic Oncology Physician

General Provider Information

NPI Number : 1598533549
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAPTIST MD ANDERSON CANCER PHYSICIANS INC
Provider Business Mailing Address
First Line : PO BOX 746654
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6654
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 1370 13TH AVE S STE 214
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3206
Country : US
Telephone Number : 904-202-7300
Fax Number : 904-202-2754
Authorized Official
Title or Position : VICE PRESIDENT
Name : LEEANN MENGEL
Credential :
Telephone Number : 904-202-7300
Provider Enumeration Date : 12/19/2023
Last Update Date : 04/27/2026

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1255328860 — DR. KAREN K THALINGER MD
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1932146875 — BEACHES NEUROLOGY CLINIC
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Practice Fax: 904-249-9764

Directions to “BAPTIST MD ANDERSON CANCER PHYSICIANS INC ” Practice Location

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