DR. MATT T NEIBAUR (NPI# 1124044664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124044664 |
| Entity Type | Individual |
| Full Name | DR. MATT T NEIBAUR |
| Credential | MD |
| Practice Address |
1995 Us 1 South St Augustine FL 32086 |
| Mailing Address |
1702 Windjammer Ln St Augustine FL 32084-5218 |
| Practice Telephone | 8502429316 |
| Mailing Telephone | 8502429316 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2010-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME50819 | FL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME50819 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1995 US 1 SOUTH |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625801 | Gibson Medical Pa | Internal Medicine | 307 Alcazar St, St Augustine, FL 32080-3708 | 2020-10-06 |
| 1962977306 | Saint Augustine Hospitalists Primary Care | Internal Medicine | 1301 Plantation Island Dr S Ste 106a, St Augustine, FL 32080-3109 | 2018-10-12 |
| 1962719187 | Dr Syed W. Ali | Internal Medicine | 236 Southpark Cir E, St Augustine, FL 32086-5137 | 2010-09-09 |
| 1629244231 | Martin-jose Sepulveda | Internal Medicine | 412 Plantation Grove Ln, St Augustine, FL 32086-9120 | 2008-05-03 |
| 1326168931 | William S Kammerer | Internal Medicine | 1805 Windjammer Ln, St Augustine, FL 32084-5222 | 2007-03-29 |
| 1346380136 | Daniel Patrick Conlin | Internal Medicine | 209 Woodland Ave, St Augustine, FL 32080-6333 | 2007-02-08 |
| 1043381262 | David Brett Goldberg | Internal Medicine | 6010 A1a S, St Augustine, FL 32080-7018 | 2006-11-10 |
| 1215039870 | Qixia Huang | Internal Medicine | 1301 Plantation Island Dr S Ste 102a, St Augustine, FL 32080-3109 | 2006-09-03 |
| 1669482170 | Radhika Prakash | Internal Medicine | 2758 Us 1 South, St Augustine, FL 32086 | 2006-08-08 |
| 1447281530 | Goar De Lamerens | Internal Medicine | 3700 Us Highway 1 S, St Augustine, FL 32086-7150 | 2006-07-06 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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| 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.