OrganizationActive
Baptist Specialty Physicians Inc
NPI 1851965164 · Pediatric Cardiology Physician · Lake City, FL
Provider details
- NPI number
- 1851965164
- Entity type
- Organization
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thabata Ford, Vice President(904) 391-5578
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Adult Congenital Heart Disease Physician207RA0002X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
3650 Nw Devane St
Lake City, FL 32055-8730
Phone: (904) 202-8550
Fax: (904) 393-7808
Street-level locationGet directions
Mailing address
Po Box 44047
Jacksonville, FL 32231-4047
Registry dates
- Enumerated
- 2021-05-20
- Last updated
- 2021-05-20
- Certified
- 2021-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.