Oasis Medical Providers, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OASIS MEDICAL PROVIDERS, LLC

Doing business as

Oasis Medical

Practice address

316 Paseo Reyes Dr
Saint Augustine, FL 32095-8464

Phone

(904) 342-0219

NPI assigned

Apr 29, 2018

Organization subpart

No

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

Authorized official

Name

Mr. John P Croyle Jr., PA-C

Title

Manager/Provider

Phone

(814) 571-5504

Specialties & licenses 1

Addresses

Other names 1

• Oasis Medical Doing business as

Locations

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

{
    "created_epoch": "1524960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524960000000",
    "number": "1659869238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 DORADO DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320867075",
            "telephone_number": "814-571-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 PASEO REYES DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320958464",
            "telephone_number": "904-342-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS MEDICAL PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-29",
        "last_updated": "2018-04-29",
        "status": "A",
        "authorized_official_last_name": "CROYLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER/PROVIDER",
        "authorized_official_telephone_number": "814-571-5504",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cara F O'Connell-Edwards, PHD
• Kevin Matthew O'Donnell, D.C.
• Lynn M O'Donnell, PT
• Mary Elizabeth O'Donoghue, B.S.
• Rachel O'Steen
• OB Hospitalist Group LLC
• OBGYN Associates of St Augustine PA
• Cassandra Lorenz Oborne, LMHC
• Oceanside Endodontics OD St. Augustine
• Oceanvibes, Inc.

• Primary Care Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2018; 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.