Village Pediatrics of St Augustine LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME93245 Issued in FL

Legal business name

VILLAGE PEDIATRICS OF ST AUGUSTINE LLC

Practice address

319 W Town PL
Suite 1
St Augustine, FL 32092-3101

Phone

(904) 940-1577

Fax

(904) 940-1916

NPI assigned

Aug 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Elvir, M.D.

Title

Owner

Phone

(904) 940-1577

Specialties & licenses 1

Addresses

Other names 1

• Village Pediatrics LLC Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23920/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1164738191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W TOWN PL",
            "address_2": "SUITE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923101",
            "telephone_number": "904-940-1577",
            "fax_number": "904-940-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W TOWN PL",
            "address_2": "SUITE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923101",
            "telephone_number": "904-940-1577",
            "fax_number": "904-940-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PEDIATRICS OF ST AUGUSTINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "ELVIR",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-940-1577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME93245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Pediatrics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny Vidal
• Gabriella Vieira
• Stephen A Vighetti, PT, MTC, CSCS
• Vijayselwyn Davis Dhas MD
• Village Chiropractic Center of
• Villages Regional Hospital Physician Services LLC
• Villages Regional Hospital Physician Services LLC
• Elizabeth Villanueva, M.S., LMHC
• Eva Villanueva, MD
• Steven Yu Villanueva, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.