First Coast Pulmonary Associates

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

FIRST COAST PULMONARY ASSOCIATES

Practice address

100 Whetstone PL
Suite 208
St Augustine, FL 32086-5774

Phone

(904) 819-6800

Fax

(904) 819-6700

NPI assigned

Sep 16, 2006

Last updated

May 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Butler

Title

Manager

Phone

(904) 819-6800

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

First Coast Pulmonary Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• First Coast Pulmonary Associates

  • Family Medicine Physician
  • Palm Coast, FL
  • NPI 1255403689
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bernard R Borbely, MD

  • Pulmonary Disease Physician
  • St Augustine, FL
  • NPI 1063410991
  Medicare reassignment Care Compare group NPD
• Ramzi M Shaqareq, MD

  • Pulmonary Disease Physician
  • St Augustine, FL
  • NPI 1598715229
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1306942032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WHETSTONE PL",
            "address_2": "SUITE 208",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865774",
            "telephone_number": "904-819-6800",
            "fax_number": "904-819-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHETSTONE PL",
            "address_2": "SUITE 208",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865774",
            "telephone_number": "904-819-6800",
            "fax_number": "904-819-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST PULMONARY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-819-6800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Coast Oral & Facial Surgery, PA
• First Coast Pain and Spine Center LLC
• First Coast Pain Consultants PLLC
• First Coast Pain Management
• First Coast Physical Therapy Inc
• First Coast Spine & Rehab LLC
• First Coast Wound Care LLC
• First Step Counseling Center
• Ross H Fishman, D.M.D.
• Angela Diane Fitts, LCSW

• Pulmonary Disease Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.