Organization Active NPI

Shaun F Saint MD PA

  • Surgery Physician
  • Crystal River, FL
National Provider Identifier
1053502278
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME98461 Issued in FL
Legal business name
SHAUN F SAINT MD PA
Practice address
4489 N Citrus Ave
Crystal River, FL 34428-6019
Phone
(352) 563-9912
Fax
(352) 795-2642
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Dr. Shaun F Saint, MDNPI 1255536868
Title
Physiciain
Phone
(352) 563-9912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME98461 FL Primary

Addresses

Primary practice location

4489 N Citrus Ave
Crystal River, FL 34428-6019

Mailing address

4489 N Citrus Ave
Crystal River, FL 34428-6019
Phone (352) 563-9912

Other identifiers 1

IdentifierTypeStateIssuer
279024600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071113000373 FL Part B Supplier - Clinic/Group Practice 8527156389 Receives reassigned benefits from 1 practitioner
Practice locations: Crystal River, FL

National Provider Directory

National Provider Directory

Locations

11533 W Emerald Oaks Dr
Crystal River, FL 34428
Phone (352) 563-9912

4489 N Citrus Ave
Crystal River, FL 34428
Phone (352) 563-9912

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1053502278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4489 N CITRUS AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286019",
            "telephone_number": "352-563-9912",
            "fax_number": "352-795-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4489 N CITRUS AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286019",
            "telephone_number": "352-563-9912",
            "fax_number": "352-795-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUN F SAINT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "SAINT",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAIN",
        "authorized_official_telephone_number": "352-563-9912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME98461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279024600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.