NPIMap

Individual provider Active NPI

Roy H Hinman, MD PA

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1760595821
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME56729 Issued in FL
Practice address
100 Arricola Ave
St Augustine, FL 32080-4515
Phone
(904) 825-4368
Fax
(904) 825-9107
NPI assigned
Aug 15, 2006
Last updated
Mar 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME56729 FL Primary

Addresses

Primary practice location

100 Arricola Ave
St Augustine, FL 32080-4515

Mailing address

100 Arricola Ave
St Augustine, FL 32080-4515
Phone (904) 825-4368

Other identifiers 2

IdentifierTypeStateIssuer
069752OtherAETNA
09732OtherFLBLUE CROSS/BLUE SHIELD FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000827 FL Practitioner - Family Practice 6204897218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians

Practice addresses (Care Compare)

100 Arricola Ave
Saint Augustine, FL 32080-4515
Phone (904) 825-4368

2 McCormick Dr
Palm Coast, FL 32164-2352
Phone (386) 246-7365

2460 Old Moultrie Rd
St Augustine, FL 32086-4198

264 A Palm Coast Pkwy NE
Island Doctors Parkway
Palm Coast, FL 32137-8217
Phone (386) 446-5505

811 N Summit St
Island Doctors Crescent City
Crescent City, FL 32112-2191
Phone (386) 698-2101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
ME56729FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Doctors Intrastate LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

2354 Surfside Blvd
Ste D
Cape Coral, FL 33991
Phone (239) 317-7131

811 N Summit St
Crescent City, FL 32112
Phone (386) 698-2101

927 N Spring Garden Ave
Deland, FL 32720
Phone (386) 337-3413

308 N 2nd St
Flagler Beach, FL 32136
Phone (386) 693-4955

8011 Merrill Rd
Ste 10
Jacksonville, FL 32277
Phone (904) 420-3221

700 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 301-4067

4542 Alba St
Pace, FL 32571
Phone (850) 994-0045

1023 Saint Johns Ave
Palatka, FL 32177
Phone (386) 328-2222

264A Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 446-5505

461 E Ten Mile Rd
Pensacola, FL 32534
Phone (850) 471-8940

507 N Navy Blvd
Pensacola, FL 32507
Phone (850) 471-8960

729 Beville Rd
South Daytona, FL 32119
Phone (386) 256-4791

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

Organizations & group practices 4

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

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1760595821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARRICOLA AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804515",
            "telephone_number": "904-825-4368",
            "fax_number": "904-825-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARRICOLA AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804515",
            "telephone_number": "904-825-4368",
            "fax_number": "904-825-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINMAN",
        "first_name": "ROY",
        "middle_name": "H",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME56729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "069752",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD FL",
            "identifier": "09732",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.