NPIMap

Organization Active NPI

Flagler Professional Health Care Services, Inc.

  • Radiology Clinic/Center
  • Saint Augustine, FL
National Provider Identifier
1194440289
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.
Doing business as
Flagler Health Imaging
Practice address
1 Orthopaedic PL
Saint Augustine, FL 32086-4202
Phone
(904) 819-5213
Fax
(904) 819-5159
NPI assigned
Oct 11, 2022
Organization subpart
Yes
Parent organization
FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
John Wells Franks
Title
Delegated Official
Phone
(904) 819-4527

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RM1200X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1 Orthopaedic PL
Saint Augustine, FL 32086-4202

Mailing address

301 Health Park Blvd Ste 216
Saint Augustine, FL 32086-5795
Phone (904) 819-5213

Other names 1

  • Flagler Health Imaging Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230207002111 FL Part B Supplier - Clinic/Group Practice 4082973953 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Augustine, FL

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Flagler Professional Health3 organizations share this tax ID, including this one
Part of
Flagler Professional Health

Other organizations with this tax ID 2

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1194440289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD STE 216",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865795",
            "telephone_number": "904-819-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ORTHOPAEDIC PL",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320864202",
            "telephone_number": "904-819-5213",
            "fax_number": "904-819-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC.",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "FRANKS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WELLS",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "904-819-4527"
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flagler Health Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 11, 2022; 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.