Organization Active NPI

Associates in Internal Medicine PA

  • Legal Medicine
  • Saint Augustine, FL
National Provider Identifier
1184874745
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME78888 Issued in FL
Legal business name
ASSOCIATES IN INTERNAL MEDICINE PA
Practice address
3700 US Highway 1 S
Saint Augustine, FL 32086-7150
Phone
(904) 794-2464
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Authorized official

Name
Dr. Goar Delamerens, M.D.NPI 1447281530
Title
President
Phone
(904) 794-2464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X ME78888 FL Primary

Addresses

Primary practice location

3700 US Highway 1 S
Saint Augustine, FL 32086-7150

Mailing address

3700 US Highway 1 S
Saint Augustine, FL 32086-7150
Phone (904) 794-2464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081119000591 FL Part B Supplier - Clinic/Group Practice 7113087222 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Augustine, FL; Palm Coast, FL

National Provider Directory

National Provider Directory

Locations

385 Palm Coast Pkwy SW
Palm Coast, FL 32137

3700 US Highway 1 S
St Augustine, FL 32086
Phone (904) 429-4736

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1184874745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 US HIGHWAY 1 S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320867150",
            "telephone_number": "904-794-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 US HIGHWAY 1 S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320867150",
            "telephone_number": "904-794-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "DELAMERENS",
        "authorized_official_first_name": "GOAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-794-2464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME78888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.