NPIMap

Organization Active NPI

N.F.L. Center for Oto-HNS Facial Plastic Surgery P.a.

Doing business as North Florida Center for Otolaryngology

  • Otolaryngology/Facial Plastic Surgery Physician
  • St Augustine, FL
National Provider Identifier
1851325781
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
N.F.L. CENTER FOR OTO-HNS FACIAL PLASTIC SURGERY P.A.
Doing business as
North Florida Center for Otolaryngology
Practice address
3 San Bartola Dr
St Augustine, FL 32086-5767
Phone
(904) 823-8823
Fax
(904) 808-1505
NPI assigned
Jul 10, 2006
Last updated
Jul 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Dr. Arthur Cort Taliaferro, MDNPI 1497859904
Title
Owner
Phone
(904) 823-8823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU
Otology & Neurotology Physician 207YX0901X NU
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X NU Primary

Addresses

Primary practice location

3 San Bartola Dr
St Augustine, FL 32086-5767

Mailing address

3 San Bartola Dr
St Augustine, FL 32086-5767
Phone (904) 823-8823

Other identifiers 4

IdentifierTypeStateIssuer
274492900MedicaidFL
274492901MedicaidFL
DD8481OtherFLRAILROAD MEDICARE
274492902MedicaidFL

Other names 1

  • North Florida Center for Otolaryngology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050913000553 FL Part B Supplier - Clinic/Group Practice 8224061023 Receives reassigned benefits from 8 practitioners
Practice locations: Saint Augustine, FL; St Augustine, FL

National Provider Directory

National Provider Directory

Locations

1750 Tree Blvd
Ste 1
St Augustine, FL 32084
Phone (904) 824-4005

3 San Bartola Dr
St Augustine, FL 32086
Phone (904) 823-8823

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1851325781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SAN BARTOLA DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865767",
            "telephone_number": "904-823-8823",
            "fax_number": "904-808-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAN BARTOLA DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865767",
            "telephone_number": "904-823-8823",
            "fax_number": "904-808-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.F.L. CENTER FOR OTO-HNS FACIAL PLASTIC SURGERY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "TALIAFERRO",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "CORT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-823-8823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274492900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274492901",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD8481",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274492902",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Center for Otolaryngology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.