NPIMap

Organization Active NPI

St Augustine Anesthesia Partners

  • Anesthesiology Physician
  • St Augustine, FL
National Provider Identifier
1184238669
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ST AUGUSTINE ANESTHESIA PARTNERS
Practice address
212 Southpark Cir E
St Augustine, FL 32086-5135
Phone
(904) 730-1131
Fax
(904) 717-2015
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Jacquelin Kennedy
Title
Director of Ancillary Services
Phone
(904) 483-5869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

212 Southpark Cir E
St Augustine, FL 32086-5135

Mailing address

PO Box 100227
Columbia, SC 29202-3208
Phone (904) 730-1131

National Provider Directory

National Provider Directory

Locations

212 Southpark Cir E
St Augustine, FL 32086
Phone (904) 730-1131

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1184238669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100227",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023208",
            "telephone_number": "904-730-1131",
            "fax_number": "904-717-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SOUTHPARK CIR E",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865135",
            "telephone_number": "904-730-1131",
            "fax_number": "904-717-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE ANESTHESIA PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JACQUELIN",
        "authorized_official_title_or_position": "DIRECTOR OF ANCILLARY SERVICES",
        "authorized_official_telephone_number": "904-483-5869"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 4, 2020; 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.