VILLAGE PEDIATRICS OF ST AUGUSTINE LLC (NPI# 1164738191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164738191 |
| Entity Type | Organization |
| Organization Name | VILLAGE PEDIATRICS OF ST AUGUSTINE LLC |
| Other Organization Name | VILLAGE PEDIATRICS LLC |
| Practice Address |
319 W Town Pl Suite 1 St Augustine FL 32092-3101 |
| Practice Telephone | 9049401577 |
| Practice Fax Number | 9049401916 |
| Mailing Telephone | 9049401577 |
| Mailing Fax Number | 9049401916 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |
| Authorized Official Name | DR. PATRICIA ELVIR (OWNER) |
| Authorized Official Telephone | 9049401577 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME93245 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Village Pediatrics LLC | Doing Business As Name - Organization |
| Street Address |
319 W TOWN PL SUITE 1 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32092-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336107408 | Deborah A Jackson | Physical Therapist | 319 W Town Pl, Suite 5, St Augustine, FL 32092-3101 | 2006-05-01 |
| 1801438080 | Latascha Williamson | Speech-Language Pathologist | 319 W Town Pl, St Augustine, FL 32092-3101 | 2019-10-09 |
| 1689110330 | Tina Parikh | Physical Therapist | 319 W Town Pl, World Golf Village, Suite 5, St Augustine, FL 32092-3101 | 2017-01-18 |
| 1770938334 | Ashlee Johnson | Physical Therapist | 319 W Town Pl, World Golf Village, Suite 5, St Augustine, FL 32092-3101 | 2016-05-02 |
| 1588049225 | Trudy Hepp English | Nurse Practitioner | 319 W Town Pl, St Augustine, FL 32092-3101 | 2015-07-23 |
| 1841693314 | Ethan Klein | Physical Therapy Assistant | 319 W Town Pl, Suite 5, St Augustine, FL 32092-3101 | 2014-09-29 |
| 1851791081 | Roberta Blancq | Physical Therapist | 319 W Town Pl, Suite 5, St Augustine, FL 32092-3101 | 2014-08-25 |
| 1972864239 | Jodi Liphart | Physical Therapist | 319 W Town Pl, Suite 5, St Augustine, FL 32092-3101 | 2012-06-04 |
| 1497015598 | Deborah Jackson Therapy Associates Inc | Occupational Therapist | 319 W Town Pl, Suite 5, St Augustine, FL 32092-3101 | 2012-05-22 |
| 1992971352 | Miranda Goode Ferreira | Physical Therapist | 319 W Town Pl, Suite 5, St Augustine, FL 32092-3101 | 2008-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
| 1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1790146462 | Florida Autism Center | Community/Behavioral Health | 124 Capulet Drive, St Augustine, FL 32092 | 2016-03-09 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
| Find all providers in zip 32092 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487218939 | Flagler Professional Health Care Services, Inc. | Pediatrics | 120 Palencia Village Dr Ste 108, St Augustine, FL 32095-8553 | 2019-04-30 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1073952909 | Meredith Johnston Brazell | Pediatrics | 120 Palencia Village Dr Ste 107, St Augustine, FL 32095-8553 | 2013-06-25 |
| 1184715658 | Paul J Leadem Jr. | Pediatrics | 1740 Tree Boulevard, Suite 112, St Augustine, FL 32084-5774 | 2006-09-27 |
| 1477658342 | Vincent S Luz | Pediatrics | 100 Whetstone Pl Ste 211, St Augustine, FL 32086-5775 | 2006-09-14 |
| 1649280041 | Zane Gary Kalter | Pediatrics | 70 Turin Ter Ste 220, St Augustine, FL 32092-0850 | 2006-08-08 |
| 1043630353 | Lighthouse Pediatrics Pllc | Pediatrics | 100 Whetstone Pl, Suite 211, St Augustine, FL 32086-5774 | 2014-04-25 |
| 1205192739 | Anastasia Pediatrics | Pediatrics | 100 Whetstone Pl, Suite 205, St Augustine, FL 32086-5774 | 2012-04-10 |
| 1053602813 | Global Health Records, Inc. | Pediatrics | 1851 Old Moultrie Rd, St Augustine, FL 32084-4168 | 2011-04-28 |
| 1790086429 | Harbour Island Pediatrics | Pediatrics | 1301 Plantation Island Dr S, Suite 106-b, St Augustine, FL 32080-3108 | 2010-11-11 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32092 |
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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.