Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508156795 Individual Practitioner Male Practitioner

Dr. Ryan Cantville , DO

Pediatrics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Cantville, DO is a registered healthcare professional specializing in Pediatrics in Jacksonville, FL. Practice services are available at 2606 PARK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2606 Park St

Jacksonville, FL 322044520

Telephone 9043884646
Fax 9043889017
Associated Practice Facility / Clinic
🏢 Jacksonville Pediatrics Facility NPI 1043346745

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.6 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
221 Specialists

Practicing in Jacksonville, FL (4160 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL OS12463

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Statelicense
OS 12463 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1114998010

Doctor of Medicine (M.D.)

Elizabeth Emerson , PNP-PC

Nurse Practitioner - Pediatrics

NPI 1164153060

PNPPC

NPI 1225099740

Doctor of Medicine (M.D.)

NPI 1487625398

Doctor of Medicine (M.D.)

NPI 1629294665

Doctor of Medicine (M.D.)

Ceara Drexel , NP

Nurse Practitioner

NPI 1710631486

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active April 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2017

Registered at 2606 PARK ST, JACKSONVILLE, FL 322044520 (Tel: 9043884646)

📍
Updated Business Mailing Address April 13, 2017

Registered at 2606 PARK ST, JACKSONVILLE, FL 322044520 (Tel: 9043884646)

👤
Provider Name / Credentials Updated April 13, 2017

Recorded as RYAN CANTVILLE, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2017

Pediatrics (License #OS12463 in FL)

NPI Profile Active October 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2014

Registered at 2606 PARK ST, JACKSONVILLE, FL 322044520 (Tel: 9043884646)

📍
Updated Business Mailing Address October 23, 2014

Registered at 2606 PARK ST, JACKSONVILLE, FL 322044520 (Tel: 9043884646)

👤
Provider Name / Credentials Updated October 23, 2014

Recorded as RYAN CANTVILLE, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2014

Pediatrics (License #OS12463 in FL)

🟢
Initial NPI Registration & Enumeration April 09, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508156795
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2011
Last Update: April 13, 2017
Sole Proprietor: No

Mailing Address

2606 Park St

Jacksonville, FL 322044520

Phone: 9043884646

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.