Active NPI
Richard A Oldano, PA
- Physician Assistant
- St Augustine, FL
National Provider Identifier
1437275880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2717
- Practice address
- 1300 Barrington Cir
St Augustine, FL 32092-3612 - Phone
- (904) 940-1246
- NPI assigned
- Mar 21, 2007
- Last updated
- Mar 18, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2717 | FL | Primary |
Addresses
Primary practice location
1300 Barrington Cir
St Augustine, FL 32092-3612
Mailing address
9826 San Jose Blvd
Jacksonville, FL 32257-5438
Phone (904) 652-0370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Medical Center, Inc. | Past | Accepting new patients | |
| Solantic of Jacksonville, LLC | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CareSpot Urgent Care / CareSpot - Clermont
- Urgent Care Clinic/Center
- Orlando, FL
- NPI 1306367503
-
- Urgent Care Clinic/Center
- Vero Beach, FL
- NPI 1689812109
-
- Urgent Care Clinic/Center
- Gainesville, FL
- NPI 1558595223
-
dba CareSpot Express Healthcare
- Urgent Care Clinic/Center
- Ponte Vedra, FL
- NPI 1407893100
-
dba CareSpot Express Healthcare
- Urgent Care Clinic/Center
- Coral Springs, FL
- NPI 1851344378
-
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1063454858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1437275880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9826 SAN JOSE BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575438",
"telephone_number": "904-652-0370",
"fax_number": "904-652-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 BARRINGTON CIR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923612",
"telephone_number": "904-940-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDANO",
"first_name": "RICHARD",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA2717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.