Organization Active NPI

St Augustine Physicians Associates, Inc.

  • Chiropractor
  • Palatka, FL
National Provider Identifier
1083023204
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ST AUGUSTINE PHYSICIANS ASSOCIATES, INC.
Practice address
905 Saint Johns Ave
Palatka, FL 32177-4649
Phone
(386) 328-2710
Fax
(386) 328-9708
NPI assigned
Aug 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Clark Monahan, DCNPI 1982622593
Title
Director
Phone
(904) 824-8353

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X FL Primary

Addresses

Primary practice location

905 Saint Johns Ave
Palatka, FL 32177-4649

Mailing address

905 Saint Johns Ave
Palatka, FL 32177-4649
Phone (386) 328-2710

Other names 1

  • Monahan Chiropractic Medical Clinics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Monahan Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5 N Summit St
Crescent City, FL 32112

905 Saint Johns Ave
Palatka, FL 32177
Phone (386) 328-2710

4879 Palm Coast Pkwy NW
Unit 3
Palm Coast, FL 32137
Phone (386) 246-5075

3750 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 794-9877

Practitioners & affiliated clinicians

Practitioners 4

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": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1083023204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SAINT JOHNS AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774649",
            "telephone_number": "386-328-2710",
            "fax_number": "386-328-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SAINT JOHNS AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774649",
            "telephone_number": "386-328-2710",
            "fax_number": "386-328-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE PHYSICIANS ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "MONAHAN",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-824-8353",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monahan Chiropractic Medical Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.