Echo Managed Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ECHO MANAGED CARE, LLC

Practice address

100 Arricola Ave
Saint Augustine, FL 32080-4515

Phone

(904) 825-4368

NPI assigned

Apr 15, 2021

Last updated

Aug 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Paul Shaddock

Title

Strategy and Development Officer

Phone

(850) 341-6322

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1669053351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARRICOLA AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320804515",
            "telephone_number": "904-825-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARRICOLA AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320804515",
            "telephone_number": "904-825-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHO MANAGED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "SHADDOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "STRATEGY AND DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "850-341-6322"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Arricola",
            "affiliation": "Y",
            "endpointDescription": "Echo Managed Care LLC",
            "affiliationName": "Roy H Hinman MD PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mail Delivery",
            "address_1": "100 Arricola Ave",
            "city": "Saint Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320804515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marybeth Dyckes
• Tammy Rowland Dye, RN, APRN, FNP
• Courtney Dyer
• Dysphagia Decision Solutions, LL
• East Central Florida Outpatient Imaging, LLC (Saint Augustine Imaging Center)
• Ecsa Optical Company, LLC
• Ecsa Optical Company, LLC
• Anshernette Deshay Edmond
• Eduardo Dieguez Jr MD PA
• Edward Henry Scarpitti, MD PA

• 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 Aug 5, 2021; 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.