St. Vincent'S Medical Center - Clay County, Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME49977 Issued in FL

Legal business name

ST. VINCENT'S MEDICAL CENTER - CLAY COUNTY, INC

Practice address

1658 St Vincents Way
Suite 300
Middleburg, FL 32068-8446

Phone

(904) 276-5100

Fax

(904) 276-5393

NPI assigned

Dec 17, 2014

Organization subpart

Yes

Parent organization

ST. VINCENT'S MEDICAL CENTER - CLAY COUNTY, INC.As reported in NPPES

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

Authorized official

Name

Mr. D. Blaine Claypool

Title

President

Phone

(904) 602-1151

Specialties & licenses 1

Addresses

Other names 1

• St. Vincent's Clay County - Cardiology Doing business as

Tax ID family

St Vincent'S Medical Center-Clay County Inc2 organizations share this tax ID, including this one

Part of

St Vincent'S Medical Center-Clay County Inc

Other organizations with this tax ID 1

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

• St. Vincent'S Medical Center-Clay County, Inc.

  • General Acute Care Hospital
  • Middleburg, FL
  • NPI 1457690471
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• St. Vincent'S Medical Center-Clay County, Inc.

  • General Acute Care Hospital
  • Middleburg, FL
  • NPI 1457690471
  NPPES parent name

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1154729549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 ST VINCENTS WAY",
            "address_2": "SUITE 300",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688446",
            "telephone_number": "904-276-5100",
            "fax_number": "904-276-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 ST VINCENTS WAY",
            "address_2": "SUITE 300",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688446",
            "telephone_number": "904-276-5100",
            "fax_number": "904-276-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT'S MEDICAL CENTER - CLAY COUNTY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT'S MEDICAL CENTER - CLAY COUNTY, INC.",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "CLAYPOOL",
        "authorized_official_first_name": "D. BLAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-602-1151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME49977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent's Clay County - Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeast Orthopedic Specialists, Inc.
• Specialized Patient Transport LLC
• William David Speer, PA-C
• Kelly Ann Sprague
• Thomas Spratley
• St. Vincent'S Medical Center-Clay County, Inc.
• Charles E. Stankard, MD
• Malcolm Starling
• Kristin Steed, FNP
• Kelsea Dean Stewart

• Cardiovascular Disease Physician in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.