FLAGLER FAMILY MEDICINE P A (NPI# 1538646757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538646757 |
| Entity Type | Organization |
| Organization Name | FLAGLER FAMILY MEDICINE P A |
| Other Organization Name | NORTHEAST FLORIDA FOOT AND ANKLE |
| Practice Address |
52 Tuscan Way Ste 205 St Augustine FL 32092-1850 |
| Mailing Address |
130 Health Park Blvd St Augustine FL 32086-5776 |
| Practice Telephone | 9048263469 |
| Mailing Telephone | 9048263469 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |
| Authorized Official Name | WARREN WHITLOCK (AUTHORIZED OFFICIAL / PARTNER) |
| Authorized Official Telephone | 9048263469 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 252488100 | 05 |
| Other Name | Type Code |
|---|---|
| Northeast Florida Foot and Ankle | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215080809 | Flagler Family Medicine P A | Family Medicine | 130 Health Park Blvd, St Augustine, FL 32086-5776 | 2007-01-19 |
| Street Address |
52 TUSCAN WAY STE 205 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32092-1850 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891178406 | John Randall Northrup | Podiatrist | 1690 Us Highway 1 S Ste C, St Augustine, FL 32084-6024 | 2015-06-30 |
| 1306032586 | Podiatry Associates of Florida Inc | Podiatrist | 220 Southpark Cir E, St Augustine, FL 32086-5135 | 2007-09-20 |
| 1184659484 | Victoria Jean Camp | Podiatrist | 1093 A1a Beach Blvd, Pmb 235, St Augustine, FL 32080-6733 | 2006-07-12 |
| 1275570897 | Jerry L Weed Jr. | Podiatrist | 3700 Us 1 S, St Augustine, FL 32086-7150 | 2006-06-01 |
| 1245277417 | John M Burns | Podiatrist | 1975 Old Moultrie Rd, St Augustine, FL 32086-5164 | 2006-05-31 |
| 1710987805 | Brett Cutler | Podiatrist | 105 Southpark Blvd, Ste A103, St Augustine, FL 32086-4162 | 2005-07-29 |
| 1154793339 | George S Tellam | Podiatrist | 309 Kingsley Lake Dr, # 901, St Augustine, FL 32092-3047 | 2015-10-27 |
| 1932430667 | Health Park Podiatric Foot and Ankle Clinic, Inc | Podiatrist | 1975 Old Moultrie Rd, St Augustine, FL 32086-5164 | 2010-01-20 |
| 1114164456 | D.s.miles Dpm, Pa | Podiatrist | 220 Southpark Cir E, St Augustine, FL 32086-5135 | 2009-01-08 |
| 1245485259 | D.s. Miles Dpm, Pa | Podiatrist | 220 Southpark Cir E, St Augustine, FL 32086-5135 | 2008-11-19 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32092 |
Please comment or provide details below to improve the information on FLAGLER FAMILY MEDICINE 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.