Organization Active NPI

First Coast Medicine PLLC

  • Podiatrist
  • Jacksonville, FL
National Provider Identifier
1245815430
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FIRST COAST MEDICINE PLLC
Practice address
12574 Flagler Center Blvd Ste 100
Jacksonville, FL 32258-2614
Phone
(646) 872-3015
NPI assigned
Mar 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Frank Spinner, DPM
Title
Owner
Phone
(646) 872-3015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

12574 Flagler Center Blvd Ste 100
Jacksonville, FL 32258-2614

Mailing address

12574 Flagler Center Blvd Ste 100
Jacksonville, FL 32258-2614
Phone (646) 872-3015

National Provider Directory

National Provider Directory

Locations

12574 Flagler Center Blvd
Ste 100
Jacksonville, FL 32258
Phone (646) 872-3015

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16062/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1245815430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12574 FLAGLER CENTER BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582614",
            "telephone_number": "646-872-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12574 FLAGLER CENTER BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582614",
            "telephone_number": "646-872-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "SPINNER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-872-3015",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.