Active NPI
Gastroenterology Associates of St Augustine, PA
- Gastroenterology Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- GASTROENTEROLOGY ASSOCIATES OF ST AUGUSTINE, PA
- Practice address
- 216 Southpark Cir E
St Augustine, FL 32086-5135 - Phone
- (904) 824-6108
- Fax
- (904) 823-9613
- NPI assigned
- Mar 31, 2006
- Last updated
- Oct 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Santiago A Rosado, M.D.
- Title
- President
- Phone
- (904) 824-6108
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | NU | Primary |
Addresses
Primary practice location
216 Southpark Cir E
St Augustine, FL 32086-5135
Mailing address
216 Southpark Cir E
St Augustine, FL 32086-5135
Phone (904) 824-6108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056279300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
1633 Race Track Rd
Ste 206
Saint Johns, FL 32259
Phone (904) 824-6108
212 Southpark Cir E
St Augustine, FL 32086
Phone (904) 730-1131
216 Southpark Cir E
St Augustine, FL 32086
Phone (904) 824-6108
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Gastroenterology Physician
- St Augustine, FL
- NPI 1386618635
-
- Certified Registered Nurse Anesthetist
- Pleasant Lake, MI
- NPI 1639118573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477440000000",
"number": "1871554634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 SOUTHPARK CIR E",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865135",
"telephone_number": "904-824-6108",
"fax_number": "904-823-9613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 SOUTHPARK CIR E",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865135",
"telephone_number": "904-824-6108",
"fax_number": "904-823-9613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY ASSOCIATES OF ST AUGUSTINE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-31",
"last_updated": "2016-10-26",
"status": "A",
"authorized_official_last_name": "ROSADO",
"authorized_official_first_name": "SANTIAGO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-824-6108",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "056279300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.