Michael R Medved, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA3163 Issued in FL

Practice address

3560 A1A S
Saint Augustine, FL 32080-9731

Phone

(904) 584-2273

Fax

(904) 823-9394

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• FM Medical Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • St Augustine, FL
  • NPI 1053790246

  FL

  Medicare reassignment
• Roy H Hinman MD PA

  • Family Medicine Physician
  • St Augustine, FL
  • NPI 1649383845

  FL

  Medicare reassignment
• Jacksonville Health & Wellness CNTR.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1639350010
  NPD (past)
• Lina L Feaster PA

  • Primary Care Clinic/Center
  • St Augustine, FL
  • NPI 1922205251
  NPD (past)
• Physicians Medical Center, Inc.

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1063454858
  NPD (past)
• Physicians Medical Centers-Jax Inc

  • Urgent Care Clinic/Center
  • Orange Park, FL
  • NPI 1336320753
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Flagler Hospital Inc

  • General Acute Care Hospital
  • St Augustine, FL
  • NPI 1144211020

  Hospital

  Care Compare affiliation
• Flagler Hospital, Inc.

  • Urgent Care Clinic/Center
  • Saint Augustine, FL
  • NPI 1447527965

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1679690366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 A1A S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320809731",
            "telephone_number": "904-584-2273",
            "fax_number": "904-429-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 A1A S",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320809731",
            "telephone_number": "904-584-2273",
            "fax_number": "904-823-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDVED",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA3163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA3163",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Mecka, PA
• Med-Trans Corporation
• Medfund LLC
• Medical Professionals of North Florida
• Medone, PLLC
• Jill M Meehan, LCSW
• Michael John Meehan, LCSW
• Megan Logan, LCSW, PA
• Alyssa Anthe Megeath
• Badri Nath Mehrotra, M.D. P.A.

• All providers in Saint Augustine, FL
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.