St Augustine Cardiology Associates PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ST AUGUSTINE CARDIOLOGY ASSOCIATES PA

Practice address

201 Health Park Blvd
Suite 105
St Augustine, FL 32086

Phone

(904) 824-1776

Fax

(904) 825-1270

NPI assigned

Sep 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert N Signor Jr., MD

Title

Vice President MD

Phone

(904) 824-1776

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric A Albert, FNP-BC

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1811642077
  Medicare reassignment NPD
• Ferris E George Jr., MD

  • Cardiovascular Disease Physician
  • St Augustine, FL
  • NPI 1467474080
  Medicare reassignment NPD
• Madelyn Pellicer, APRN

  • Adult Health Nurse Practitioner
  • St Augustine, FL
  • NPI 1114642865
  Medicare reassignment NPD
• Billie J Russell, ARNP

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1871640250
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1588768147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HEALTH PARK BLVD",
            "address_2": "SUITE 105",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-824-1776",
            "fax_number": "904-825-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HEALTH PARK BLVD",
            "address_2": "SUITE 105",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-824-1776",
            "fax_number": "904-825-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE CARDIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "SIGNOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT MD",
        "authorized_official_telephone_number": "904-824-1776",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045290400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dacia Lynn Sprenger, CRDH
• SRL Professional Practice & Beyond, LLC
• St Augustine Acupuncture Centre Inc
• St Augustine Adult & Pediatric Medicine PA
• St Augustine Anesthesia Partners
• St Augustine Cardiology LLC
• St Augustine Endoscopy Center LLC
• St Augustine FL Opco LLC
• St Augustine FL Opco LLC
• St Augustine Medical Equipment LLC

• Cardiovascular Disease Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.