Active NPI
Daniel Patrick Conlin, M.D.
- Internal Medicine Physician
- St Augustine, FL
National Provider Identifier
1346380136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0041467
- Practice address
- 209 Woodland Ave
St Augustine, FL 32080-6333 - Phone
- (904) 471-1526
- NPI assigned
- Feb 8, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0041467 | FL | Primary |
Addresses
Primary practice location
209 Woodland Ave
St Augustine, FL 32080-6333
Mailing address
120 Health Park Blvd
Suite 1
St Augustine, FL 32086-3701
Phone (904) 823-3401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0041467 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346380136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HEALTH PARK BLVD",
"address_2": "SUITE 1",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320863701",
"telephone_number": "904-823-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 WOODLAND AVE",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320806333",
"telephone_number": "904-471-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLIN",
"first_name": "DANIEL",
"middle_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0041467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Jose M Concha, DPM
- Concierge Care of St. Augustine LLC (Concierge Care)
- Concierge Home Care of St Augustine LLC (Concierge Home Care)
- Heather Brumbley Conlon, ARNP
- Connect Hearing, Inc.
- James Francis Connor, D.O.
- Erin E Conrad, PT
- William L Conrad, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.