NPIMap

Organization Active NPI

First City Hospitalists Group PLLC

  • Hospitalist Physician
  • St Augustine, FL
National Provider Identifier
1003053695
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME 94505 Issued in FL
Legal business name
FIRST CITY HOSPITALISTS GROUP PLLC
Practice address
400 Health Park Blvd Ste 300
St Augustine, FL 32086-5784
Phone
(904) 819-4082
Fax
(904) 819-5156
NPI assigned
Jan 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Edward Prioleau, MD
Title
Owner
Phone
(904) 819-4082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X ME 94505 FL Primary

Addresses

Primary practice location

400 Health Park Blvd Ste 300
St Augustine, FL 32086-5784

Mailing address

PO Box 3123
St Augustine, FL 32085-3123
Phone (615) 260-0421

National Provider Directory

National Provider Directory

Locations

400 Health Park Blvd
Fl 6
Saint Augustine, FL 32086
Phone (904) 224-9752

400 Health Park Blvd
Ste 300
St Augustine, FL 32086
Phone (904) 819-4082

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1003053695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123",
            "telephone_number": "615-260-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HEALTH PARK BLVD STE 300",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865784",
            "telephone_number": "904-819-4082",
            "fax_number": "904-819-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CITY HOSPITALISTS GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "PRIOLEAU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-819-4082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME 94505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.