OrganizationActive
Baptist MD Anderson Cancer Physicians Inc
NPI 1083153365 · Gynecologic Oncology Physician · Jacksonville, FL
Provider details
- NPI number
- 1083153365
- Entity type
- Organization
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leeann Mengel, Administrator(904) 202-7300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14540 Old Saint Augustine Rd
Suite 2593
Jacksonville, FL 32258-7418
Phone: (904) 389-3993
Fax: (904) 389-3994
Street-level locationGet directions
Mailing address
Po Box 746654
Atlanta, GA 30374-6654
Other names (DBA / former)
- Doing business as
- Baptist MD Anderson Cancer Physicians
Registry dates
- Enumerated
- 2017-02-20
- Last updated
- 2023-04-10
- Certified
- 2023-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.