NPIMap

Organization Active NPI

Neurosurgical Associates of St Augustine LLC

  • Neurological Surgery Physician
  • St Augustine, FL
National Provider Identifier
1023259637
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME47757 Issued in FL
Legal business name
NEUROSURGICAL ASSOCIATES OF ST AUGUSTINE LLC
Practice address
301 Health Park Blvd Ste 101
St Augustine, FL 32086-5794
Phone
(904) 819-4088
NPI assigned
Mar 11, 2009
Last updated
Aug 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Miguel A Machado, MDNPI 1346335908
Title
Owner
Phone
(904) 819-4088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME47757 FL Primary

Addresses

Primary practice location

301 Health Park Blvd Ste 101
St Augustine, FL 32086-5794

Mailing address

PO Box 3185
St Augustine, FL 32085-3185

Other names 1

  • MIGUEL A MACHADO MD Former legal business name

National Provider Directory

National Provider Directory

Locations

201 Health Park Blvd
Ste 214
St Augustine, FL 32086
Phone (904) 824-9164

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1023259637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3185",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD STE 101",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865794",
            "telephone_number": "904-819-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGICAL ASSOCIATES OF ST AUGUSTINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "MACHADO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-819-4088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME47757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIGUEL A MACHADO MD",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MIGUEL A MACHADO MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 5, 2020; 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.