Active NPI
Flagler Hospital, Inc.
- Radiation Oncology Physician
- Saint Augustine, FL
National Provider Identifier
1417492497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- FLAGLER HOSPITAL, INC.
- Doing business as
- Flagler Radiation Oncology Center
Flagler Radiation Oncology Services - Practice address
- 97 Health Park Blvd
Saint Augustine, FL 32086-5777 - Phone
- (904) 819-4400
- Fax
- (904) 819-4906
- NPI assigned
- Dec 29, 2016
- 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
- Mr. Joseph S. Gordy
- Title
- Ceo
- Phone
- (904) 819-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
97 Health Park Blvd
Saint Augustine, FL 32086-5777
Mailing address
400 Health Park Blvd
Saint Augustine, FL 32086-5784
Phone (904) 819-5155
Other names 2
- Flagler Radiation Oncology Center
- Flagler Radiation Oncology Services
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1669 Phoenix Pkwy
Ste 210
College Park, GA 30349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1417492497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HEALTH PARK BLVD",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865784",
"telephone_number": "904-819-5155",
"fax_number": "904-819-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 HEALTH PARK BLVD",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865777",
"telephone_number": "904-819-4400",
"fax_number": "904-819-4906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLAGLER HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-29",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "GORDY",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-819-4400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Flagler Radiation Oncology Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Flagler Radiation Oncology Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.