NPIMap

Organization Active NPI

Flagler Professional Health Care Services Inc.

Doing business as Flagler Health Surgical Specialists

  • Surgery Physician
  • St Augustine, FL
National Provider Identifier
1033763487
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC.
Doing business as
Flagler Health Surgical Specialists
Practice address
300 Health Park Blvd Ste 5002
St Augustine, FL 32086-3705
Phone
(904) 819-5861
Fax
(904) 819-5862
NPI assigned
Jul 24, 2019
Last updated
Jul 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Jason Paul Barrett
Title
Ao
Phone
(904) 819-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

300 Health Park Blvd Ste 5002
St Augustine, FL 32086-3705

Mailing address

PO Box 3266
St Augustine, FL 32085-3266
Phone (904) 819-4602

Other names 1

  • Flagler Health Surgical Specialists Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1033763487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3266",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853266",
            "telephone_number": "904-819-4602",
            "fax_number": "904-819-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK BLVD STE 5002",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863705",
            "telephone_number": "904-819-5861",
            "fax_number": "904-819-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "904-819-4400"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flagler Health Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flagler Health Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 31, 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.