Active NPI
Seijas Medical Center Inc
- Internal Medicine Physician
- Palatka, FL
National Provider Identifier
1407042948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME71326
- Legal business name
- SEIJAS MEDICAL CENTER INC
- Practice address
- 411 Saint Johns Ave
Palatka, FL 32177-4724 - Phone
- (386) 325-1700
- Fax
- (386) 325-1702
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ana Marie Seijas, MD
- Title
- Owner
- Phone
- (386) 325-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME71326 | FL | Primary |
Addresses
Primary practice location
411 Saint Johns Ave
Palatka, FL 32177-4724
Mailing address
PO Box 3123
St Augustine, FL 32085-3123
Phone (904) 824-4990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252983100 | Medicaid | FL | |
| DD5869 | Other | FL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226361600000",
"number": "1407042948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3123",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320853123",
"telephone_number": "904-824-4990",
"fax_number": "904-824-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SAINT JOHNS AVE",
"city": "PALATKA",
"state": "FL",
"postal_code": "321774724",
"telephone_number": "386-325-1700",
"fax_number": "386-325-1702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEIJAS MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2008-11-11",
"status": "A",
"authorized_official_last_name": "SEIJAS",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-325-1700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME71326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252983100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD5869",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.