NPIMap

Organization Active NPI

Hygeia Medical Group PA

  • Surgery Physician
  • Niceville, FL
National Provider Identifier
1013944552
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME30965 Issued in FL
Legal business name
HYGEIA MEDICAL GROUP PA
Practice address
1005 College Blvd W
Suite C
Niceville, FL 32578-1053
Phone
(850) 678-3994
Fax
(850) 678-7131
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Virginia Ann Asthana
Title
Practice Manager
Phone
(850) 897-3097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME30965 FL Primary

Addresses

Primary practice location

1005 College Blvd W
Suite C
Niceville, FL 32578-1053

Mailing address

1005 College Blvd W
Suite C
Niceville, FL 32578-1053
Phone (850) 678-3994

National Provider Directory

National Provider Directory

Locations

1005 College Blvd W
Ste C
Niceville, FL 32578
Phone (850) 678-3994

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1013944552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 COLLEGE BLVD W",
            "address_2": "SUITE C",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781053",
            "telephone_number": "850-678-3994",
            "fax_number": "850-678-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 COLLEGE BLVD W",
            "address_2": "SUITE C",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781053",
            "telephone_number": "850-678-3994",
            "fax_number": "850-678-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYGEIA MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "ASTHANA",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "850-897-3097"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME30965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.