Organization Active NPI

Flagler Hospital, Inc.

  • Radiation Oncology Physician
  • Saint Augustine, FL
National Provider Identifier
1417492497
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as
  • Flagler Radiation Oncology Services Doing business as

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.