NPIMap

Organization Active NPI

Flagler Professional Health Care Services, Inc.

Doing business as Flagler Health Orthopedic Specialists

  • Orthopaedic Surgery Physician
  • St Augustine, FL
National Provider Identifier
1871131573
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.
Doing business as
Flagler Health Orthopedic Specialists
Practice address
300 Health Park Blvd Ste 1000
St Augustine, FL 32086-3702
Phone
(904) 819-2999
Fax
(904) 819-8299
NPI assigned
Dec 13, 2019
Last updated
Nov 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Jason Paul Barrett
Title
President and Ceo
Phone
(904) 819-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

300 Health Park Blvd Ste 1000
St Augustine, FL 32086-3702

Mailing address

PO Box 3266
Saint Augustine, FL 32085-3266
Phone (904) 819-4602

Other practice location 1

145 City Pl Ste 201
Palm Coast, FL 32164-2480
Phone (904) 819-2999

Other practice location 2

351 Town Plaza Avenue
201
Ponte Vedra, FL 32081
Phone (904) 819-7077

Other practice location 3

120 Health Park Blvd Ste 1
St Augustine, FL 32086-5798
Phone (888) 481-7007

Other names 1

  • Flagler Health Orthopedic Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200407003184 FL Part B Supplier - Clinic/Group Practice 4082973953 Receives reassigned benefits from 16 practitioners
Practice locations: Palm Coast, FL; Ponte Vedra, FL; St Augustine, FL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

351 Town Plaza Ave
Ste 201
Ponte Vedra, FL 32081
Phone (888) 481-2135

300 Health Park Blvd
Ste 1000
St Augustine, FL 32086
Phone (904) 810-1045

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1871131573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3266",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320853266",
            "telephone_number": "904-819-4602",
            "fax_number": "904-819-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK BLVD STE 1000",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863702",
            "telephone_number": "904-819-2999",
            "fax_number": "904-819-8299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 City Pl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321642480",
            "country_code": "US",
            "telephone_number": "904-819-2999",
            "fax_number": "904-819-8299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Town Plaza Avenue",
            "address_2": "201",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "32081",
            "country_code": "US",
            "telephone_number": "904-819-7077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Health Park Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865798",
            "country_code": "US",
            "telephone_number": "888-481-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "904-819-4400"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flagler Health Orthopedic Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Flagler Health Orthopedic Specialists",
            "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 Nov 19, 2020; 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.