Eyyunni PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME81943 Issued in FL

Legal business name

EYYUNNI PA

Practice address

201 Health Park Blvd
Suite 107
St Augustine, FL 32086-5796

Phone

(904) 819-0101

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Ramanujam Eyyunni, MD

Title

Owner

Phone

(904) 819-0101

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1083769749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123",
            "telephone_number": "904-824-4990",
            "fax_number": "904-824-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HEALTH PARK BLVD",
            "address_2": "SUITE 107",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865796",
            "telephone_number": "904-819-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYYUNNI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "EYYUNNI",
        "authorized_official_first_name": "RAMANUJAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-819-0101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME82671",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME81943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002377800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG4055",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharonda Evans
• Exclusive Health Center, PLLC
• Eye Center of St Augustine PA
• Eye Surgery Center of Saint Augustine Inc
• William J Eyerly, M.D.
• Uma Eyyunni, MD
• Sarah Fabbie
• Lindsay J Faber, LMHC, QS, MS
• Kayla Falgout, PT
• Victoria Falkner, PT

• Surgery Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.