Organization Active NPI

Hector C Pagan MD PA

Doing business as Advanced Medical Associates

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville Beach, FL
National Provider Identifier
1639264617
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME50071 Issued in FL
Legal business name
HECTOR C PAGAN MD PA
Doing business as
Advanced Medical Associates
Practice address
1361 13TH Ave S
Ste 210
Jacksonville Beach, FL 32250
Phone
(904) 247-8187
Fax
(904) 247-8147
NPI assigned
Oct 4, 2006
Last updated
Mar 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Hector C. Pagan, M.D.
Title
President
Phone
(904) 247-8187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X ME50071 FL Primary

Addresses

Primary practice location

1361 13TH Ave S
Ste 210
Jacksonville Beach, FL 32250

Mailing address

1361 13TH Ave S
Suite 210
Jacksonville Beach, FL 32250-3233
Phone (904) 247-8187

Other names 1

  • Advanced Medical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1361 13th Ave S
Ste 210
Jacksonville Beach, FL 32250
Phone (407) 994-5909

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1639264617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S",
            "address_2": "SUITE 210",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503233",
            "telephone_number": "904-247-8187",
            "fax_number": "904-247-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S",
            "address_2": "STE 210",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-247-8187",
            "fax_number": "904-247-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR C PAGAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-247-8187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME50071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.

Verify at the official NPI Registry.