Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699834408 Individual Practitioner Male Practitioner

Dr. Roman Criollo , MD

Pediatrics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Roman Criollo, MD is a registered healthcare professional specializing in Pediatrics in Jacksonville, FL. Practice services are available at 1680 DUNN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1680 Dunn Ave

Jacksonville, FL 322184782

Telephone 9047604904
Associated Practice Facility / Clinic

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

CMS Verified: 2023-11-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME137455

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License AZ 38184

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

Medicaid State Provider ID
101870300 (FL)
Medicaid State Provider ID
118398900 (FL)

Secondary Practice Locations

120 King St

Jacksonville, FL 322042410

Phone: 9047604904

5460 Blanding Blvd

Jacksonville, FL 322441957

Phone: 9047604904

10365 Hood Rd S Ste 204

Jacksonville, FL 322573261

Phone: 9047387045

Practice Associates & Co-Workers

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

15 Associated Practitioners
Knetra Pendleton , APRN

Nurse Practitioner - Pediatrics

NPI 1013382126

Advanced Practice Registered Nurse

Kermide Laguerre

Advanced Practice Midwife

NPI 1033965231
Paula Twyman , FNP-BC

Nurse Practitioner - Family

NPI 1285294744

Family Nurse Practitioner (Board Certified)

NPI 1326131202

Doctor of Osteopathic Medicine (D.O.)

Wendy King , APRN

Nurse Practitioner - Pediatrics

NPI 1336781772

Advanced Practice Registered Nurse

Judith Hepburn , ARNP

Nurse Practitioner - Pediatrics

NPI 1447621420

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 20, 2023

Registered at 1680 DUNN AVE, JACKSONVILLE, FL 322184782 (Tel: 9047604904)

📍
Updated Business Mailing Address March 20, 2023

Registered at 1680 DUNN AVE UNIT 35-37, JACKSONVILLE, FL 322184782 (Tel: 9047604904)

📍
Updated Practice Location June 24, 2020

Registered at 5460 BLANDING BLVD, JACKSONVILLE, FL 322441957 (Tel: 9047604904)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2020

Pediatrics (License #38184 in AZ)

NPI Profile Active February 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2016

Registered at 801 E ORANGE ST, HOOPESTON, IL 609421802 (Tel: 2172835644)

📍
Updated Business Mailing Address February 04, 2016

Registered at 611 W. PARK ST., BWPC, URBANA, IL 618012500 (Tel: 2173836792)

👤
Provider Name / Credentials Updated February 04, 2016

Recorded as ROMAN CRIOLLO, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2016

Pediatrics (License #036139196 in IL)

🟢
Initial NPI Registration & Enumeration December 07, 2006

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: 1699834408
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2006
Last Update: November 11, 2023
Sole Proprietor: No

Mailing Address

1680 Dunn Ave Unit 35-37

Jacksonville, FL 322184782

Phone: 9047604904

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.