Organization Active NPI

Warren S. Kluger, MD, PA

  • Surgical Assistant
  • St Augustine, FL
National Provider Identifier
1255798427
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
TN-33842 Issued in FL
Legal business name
WARREN S. KLUGER, MD, PA
Practice address
3100 US 1 S
St Augustine, FL 32086-6351
Phone
(904) 797-3686
NPI assigned
Jan 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Dr. Warren S. Kluger, MD, PA
Title
Surgeon
Phone
(904) 797-3686

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246QM0706X TN-33842 FL
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X TN-33842 FL Primary

Addresses

Primary practice location

3100 US 1 S
St Augustine, FL 32086-6351

Mailing address

1320 Prince Rd
St Augustine, FL 32086-6536
Phone (904) 662-7544

National Provider Directory

National Provider Directory

Locations

3100 US Highway 1 S
St Augustine, FL 32086
Phone (904) 797-2777

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1255798427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 PRINCE RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866536",
            "telephone_number": "904-662-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 US 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866351",
            "telephone_number": "904-797-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN S. KLUGER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "KLUGER",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "904-797-3686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "FL",
            "license": "TN-33842",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "TN-33842",
            "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 Jan 19, 2016; 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.