NPIMap

Organization Active NPI

Obstetrics & Gynecology Associates of St. Augustine, LLC

  • Obstetrics & Gynecology Physician
  • Palatka, FL
National Provider Identifier
1740858919
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OBSTETRICS & GYNECOLOGY ASSOCIATES OF ST. AUGUSTINE, LLC
Practice address
700 Zeagler Dr Ste 3
Palatka, FL 32177-3826
Phone
(386) 530-2380
Fax
(904) 810-1023
NPI assigned
Jun 15, 2021
Last updated
Jun 15, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA WOMAN CARE,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Erica Hernandez
Title
Manager
Phone
(561) 300-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

700 Zeagler Dr Ste 3
Palatka, FL 32177-3826

Mailing address

PO Box 9100
Belfast, ME 04915-9100
Phone (561) 300-2410

National Provider Directory

National Provider Directory
Tax ID family
Xiao-Mei Zeng MD LLC327 organizations share this tax ID, including this one
Part of
Xiao-Mei Zeng MD LLC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1740858919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9100",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159100",
            "telephone_number": "561-300-2410",
            "fax_number": "561-235-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR STE 3",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773826",
            "telephone_number": "386-530-2380",
            "fax_number": "904-810-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS & GYNECOLOGY ASSOCIATES OF ST. AUGUSTINE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA WOMAN CARE,LLC",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-300-2410"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.