Organization Active NPI

Flagler Family Medicine PA

Doing business as Northeast Florida Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • St Augustine, FL
National Provider Identifier
1134537988
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FLAGLER FAMILY MEDICINE PA
Doing business as
Northeast Florida Foot and Ankle
Practice address
236 Southpark Cir E
St Augustine, FL 32086-5137
Phone
(904) 429-4736
NPI assigned
Jul 24, 2014
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Kirsten Satkowiak
Title
Billing Manager
Phone
(904) 547-2808

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Foot & Ankle Surgery Podiatrist 213ES0103X Primary

Addresses

Primary practice location

236 Southpark Cir E
St Augustine, FL 32086-5137

Mailing address

130 Health Park Blvd
St Augustine, FL 32086-5776
Phone (904) 547-2808

Other identifiers 1

IdentifierTypeStateIssuer
252488100MedicaidFL

Other names 1

  • NORTHEAST FLORIDA FOOT AND ANKLE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141020000705 FL DME Supplier - Physician - Podiatry 9335114347 Practice locations: St Augustine, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Flagler Family Medicine P a2 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.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1134537988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HEALTH PARK BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865776",
            "telephone_number": "904-547-2808",
            "fax_number": "904-679-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 SOUTHPARK CIR E",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865137",
            "telephone_number": "904-429-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "SATKOWIAK",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "904-547-2808"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252488100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHEAST FLORIDA FOOT AND ANKLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.