Individual provider Active NPI

Felipe Aurelio Rodriguez, PA

  • Physician Assistant
  • Gainesville, FL
National Provider Identifier
1043245962
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2115 Issued in FL
Practice address
North FL Regional Medical Center
6500 Newberry Rd, Emergency Dept
Gainesville, FL 32605
Phone
(352) 369-0948
Fax
(904) 346-0113
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2115 FL Primary

Addresses

Primary practice location

North FL Regional Medical Center
6500 Newberry Rd, Emergency Dept
Gainesville, FL 32605

Mailing address

PO Box 409036
Atlanta, GA 30384-9036
Phone (352) 369-0948

Other identifiers 1

IdentifierTypeStateIssuer
P00086325OtherFLRRMCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2115FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Management Services Inc Past Accepting new patients
Nes of Northern Florida Inc Past Accepting new patients
Nes of Florida Inc Past Accepting new patients
Medlink Management Services Inc PastSince Nov 6, 2024 Accepting new patients
Nes of Florida Inc Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1043245962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409036",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849036",
            "telephone_number": "352-369-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH FL REGIONAL MEDICAL CENTER",
            "address_2": "6500 NEWBERRY RD, EMERGENCY DEPT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32605",
            "telephone_number": "352-369-0948",
            "fax_number": "904-346-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "FELIPE",
        "middle_name": "AURELIO",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00086325",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.