Active NPI
OBGYN Associates of St Augustine PA
- Obstetrics & Gynecology Physician
- St Augustine, FL
National Provider Identifier
1659337756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0066572
- Legal business name
- OBGYN ASSOCIATES OF ST AUGUSTINE PA
- Practice address
- 300 Health Park Blvd
Ste 3002
St Augustine, FL 32086 - Phone
- (904) 819-1500
- Fax
- (904) 810-1023
- NPI assigned
- Apr 26, 2006
- Last updated
- Dec 3, 2007
- 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
- Susan Yarian, MD
- Title
- President
- Phone
- (904) 819-1500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0066572 | FL | Primary |
Addresses
Primary practice location
300 Health Park Blvd
Ste 3002
St Augustine, FL 32086
Mailing address
300 Health Park Blvd
Ste 3002
St Augustine, FL 32086
Phone (904) 819-1500
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Gynecology Physician
- St Augustine, FL
- NPI 1255397352
-
- Obstetrics & Gynecology Physician
- St Augustine, FL
- NPI 1053377150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196640000000",
"number": "1659337756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HEALTH PARK BLVD",
"address_2": "STE 3002",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "32086",
"telephone_number": "904-819-1500",
"fax_number": "904-810-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HEALTH PARK BLVD",
"address_2": "STE 3002",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "32086",
"telephone_number": "904-819-1500",
"fax_number": "904-810-1023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBGYN ASSOCIATES OF ST AUGUSTINE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-26",
"last_updated": "2007-12-03",
"status": "A",
"authorized_official_last_name": "YARIAN",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-819-1500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "0066572",
"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 Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.