Peter Ford Knickerbocker
DO | Pediatric Neonatal-Perinatal Medicine | Male
Peter Ford Knickerbocker, DO is a Jacksonville, Florida based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Peter Ford Knickerbocker is
Bldg H 2005 Knight Lane, Navy Medicine Support Command, Jacksonville, Florida - 32212-0140. He can be contacted on phone at
215-298-2476.
Peter Ford Knickerbocker is a sole proprietor of his business.
NPI number (Unique professional ID) for Peter Ford Knickerbocker is
1336432608 which was assigned by NPPES on 19 May, 2011 and it was last updated on 23 Mar, 2023.
Peter Ford Knickerbocker license number is
20A12420 for Pediatrics, Neonatal-Perinatal Medicine (2080N0001X) in California.
Peter Ford Knickerbocker is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Peter Ford Knickerbocker basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Neonatal-Perinatal Medicine |
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| Provider Name : | Peter Ford Knickerbocker |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Peter Ford Knickerbocker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Bldg H 2005 Knight Lane, Navy Medicine Support Command
Jacksonville, FL, 32212-0140
United States |
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| Phone Number : | 215-298-2476 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336432608 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 May, 2011 |
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| Last Updated On : | 23 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peter Ford Knickerbocker are as mentioned. Primary taxonomy code for Peter Ford Knickerbocker, DO is
2080N0001X (Pediatrics, Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | Yes | 20A12420 | CA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 4647 Zion Ave,
San Diego, CA, 92120-2507
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3435 Gurnard Ct
San Diego, CA, 92124-3304
United States |
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| Phone Number : | 215-298-2476 |
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Business Location:
Patients can refer following map for directions to
Peter Ford Knickerbocker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.