ATLANTIC UROLOGICAL ASSOCIATES P A (NPI# 1053532572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053532572 |
| Entity Type | Organization |
| Organization Name | ATLANTIC UROLOGICAL ASSOCIATES P A |
| Practice Address |
2460 Old Moultrie Rd Suite 5 St Augustine FL 32086-4197 |
| Mailing Address |
545 Health Blvd Daytona Beach FL 32114-1493 |
| Practice Telephone | 9047947870 |
| Mailing Telephone | 3862398500 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | JERRI CREGGAR (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3862398500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407812092 | Atlantic Urological Associates P A | Urology | 545 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-04-24 |
| 1174792642 | Atlantic Urological Associates P A | Urology | 21 Hospital Dr, Suite 140, Palm Coast, FL 32164-2380 | 2008-02-28 |
| 1659586840 | Atlantic Urological Associates P A | Urology | 545 Health Blvd, Daytona Beach, FL 32114-1493 | 2007-05-11 |
| 1932321429 | Atlantic Urological Associates P A | Urology | 633 Dunlawton Ave, Suite 2, Port Orange, FL 32127 | 2007-05-03 |
| 1114148574 | Atlantic Urological Associates P A | Urology | 1620 Mason Ave, Suite E, Daytona Beach, FL 32117-7802 | 2007-05-02 |
| 1548481054 | Atlantic Urological Associates P A | Urology | 545 Health Blvd, Daytona Beach, FL 32114-1493 | 2007-05-01 |
| 1881815561 | Atlantic Urological Associates P A | Urology | 506 Palmetto St, New Smyrna Beach, FL 32168-7325 | 2007-05-01 |
| 1285855890 | Atlantic Urological Associates P A | Urology | 1061 Medical Center Dr, Suite 300, Orange City, FL 32763-8200 | 2007-05-01 |
| 1134340615 | Atlantic Urological Associates P A | Urology | 19 Old Kings Rd N, Suite C101, Palm Coast, FL 32137-8260 | 2007-05-01 |
| Street Address |
2460 OLD MOULTRIE RD SUITE 5 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-4197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508830480 | George Edward Sadowski | Surgery | 2460 Old Moultrie Rd, St Augustine, FL 32086-4197 | 2006-02-15 |
| 1922205251 | Lina L Feaster Pa | Clinic/Center | 2460 Old Moultrie Rd, Suite 1, St Augustine, FL 32086-4197 | 2007-06-29 |
| 1588692990 | Christine Marie Routhier | Surgery | 2460 Old Moultrie Rd, Suite 3, St Augustine, FL 32086-4197 | 2006-06-28 |
| 1386686186 | Lymphatic Wellness Center, LLC | Occupational Therapist | 2460 Old Moultrie Rd, Suite 4, St Augustine, FL 32086-4197 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023476454 | Edward Henry Scarpitti, Md Pa | Urology | 17 Saint Johns Medical Park Dr, St Augustine, FL 32086-4331 | 2016-01-30 |
| 1124183736 | Gerald Alan Perch | Urology | 287 Oak Common Ave, St Augustine, FL 32095-6803 | 2006-12-26 |
| 1699700963 | Wen I Lin | Urology | 3100 Us #1 South, Suite 2, St Augustine, FL 32086 | 2006-07-12 |
| 1295786242 | Howard B Epstein | Urology | 240 Southpark Cir E, St Augustine, FL 32086-5137 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on ATLANTIC UROLOGICAL ASSOCIATES P A.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.