Active NPI
Vijayselwyn Davis Dhas MD
- Obstetrics & Gynecology Physician
- St Augustine, FL
National Provider Identifier
1053614305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME104834
- Legal business name
- VIJAYSELWYN DAVIS DHAS MD
- Doing business as
- OB-GYN OF ST AUGUSTINE
- Practice address
- 301 Health Park Blvd
Ste 219
St Augustine, FL 32086-5793 - Phone
- (904) 824-9444
- Fax
- (904) 819-9594
- NPI assigned
- Dec 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vihayselwyn Davis Dhas, MD
- Title
- Owner
- Phone
- (904) 824-9444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME104834 | FL | Primary |
Addresses
Primary practice location
301 Health Park Blvd
Ste 219
St Augustine, FL 32086-5793
Mailing address
PO Box 840262
St Augustine, FL 32080-0262
Phone (904) 824-9444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002960100 | Medicaid | FL |
Other names 1
- OB-GYN OF ST AUGUSTINE
National Provider Directory
National Provider DirectoryLocations
301 Health Park Blvd
St Augustine, FL 32086
Phone (304) 829-6441
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Saint Augustine, FL
- NPI 1679045330
-
- Internal Medicine Physician
- St Augustine, FL
- NPI 1386749505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350518400000",
"number": "1053614305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840262",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320800262",
"telephone_number": "904-824-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HEALTH PARK BLVD",
"address_2": "STE 219",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865793",
"telephone_number": "904-824-9444",
"fax_number": "904-819-9594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIJAYSELWYN DAVIS DHAS MD",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-08",
"last_updated": "2012-10-18",
"status": "A",
"authorized_official_last_name": "DHAS",
"authorized_official_first_name": "VIHAYSELWYN",
"authorized_official_middle_name": "DAVIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-824-9444",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME104834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002960100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OB-GYN OF ST AUGUSTINE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Augustine, FL
- Jamie Vernaglia, DPT
- Michael Andrew Versaggi, DDS
- Jenny Vidal
- Gabriella Vieira
- Stephen A Vighetti, PT, MTC, CSCS
- Village Chiropractic Center of
- Village Pediatrics of St Augustine LLC
- Villages Regional Hospital Physician Services LLC
- Villages Regional Hospital Physician Services LLC
- Elizabeth Villanueva, M.S., LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.