High Springs Medical Center PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME55334 Issued in FL

Legal business name

HIGH SPRINGS MEDICAL CENTER PA

Practice address

105 NW Santa Fe Blvd
High Springs, FL 32643

Phone

(386) 454-7746

Fax

(386) 454-3034

NPI assigned

Sep 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Sorin McIntyre, M.D.NPI 1922079300

Title

President

Phone

(386) 454-7746

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Edward Sorin McIntyre, MD

  • Family Medicine Physician
  • High Springs, FL
  • NPI 1922079300
  Authorized official Same address or phone

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033216502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NW SANTA FE BLVD",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "32643",
            "telephone_number": "386-454-7746",
            "fax_number": "386-454-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NW SANTA FE BLVD",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "32643",
            "telephone_number": "386-454-7746",
            "fax_number": "386-454-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH SPRINGS MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "SORIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-454-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME55334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL/GROUP NUMBER",
            "identifier": "09205X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER NUMBER",
            "identifier": "33730",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellene A Harknett, L.M.T.
• Angeli E Harris, APRN
• Dottie A Hartman, LMT
• Sheryl Marie Heath, ARNP
• High Springs Family Practice Clinic Inc
• High Springs Oaks, LLC (Plantation Oaks Assisted Living and Memory Care)
• High Springs Pediatrics and Primary Care (Alachua Pediatrics and Primary Care)
• High Springs Pediatrics LLC
• High Springs Physical Medicine
• Catalina Hincapie, PA-C

• Family Medicine Physician in High Springs, FL
• Providers in High Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.