Flagler Professional Health Care Services, Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.

Doing business as

FCHV

Practice address

3901 University Blvd S Ste 221
Jacksonville, FL 32216-4392

Phone

(904) 423-0010

Fax

(904) 423-0012

NPI assigned

Nov 2, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Paul Barrett

Title

Authorized Official

Phone

(904) 819-4400

Specialties & licenses 1

Addresses

Other names 1

• FCHV Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Flagler Professional Health Care Services, Inc.

  dba Flagler Health Imaging

  • Radiology Clinic/Center
  • St Augustine, FL
  • NPI 1396300133

  O20180504000249

  Same enrollment
• Flagler Professional Health Care Services, Inc.

  dba Flagler Health Imaging

  • Radiology Clinic/Center
  • Ponte Vedra, FL
  • NPI 1407489743

  O20180504000249

  Same enrollment

Locations

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891207551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD STE 101",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865794",
            "telephone_number": "904-819-4400",
            "fax_number": "904-819-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S STE 221",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164392",
            "telephone_number": "904-423-0010",
            "fax_number": "904-423-0012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Plantation Island Dr S",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320803106",
            "country_code": "US",
            "telephone_number": "904-342-8300",
            "fax_number": "904-342-8301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Office Park Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321373808",
            "country_code": "US",
            "telephone_number": "386-446-9966",
            "fax_number": "386-445-3398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1679 Eagle Harbor Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320034816",
            "country_code": "US",
            "telephone_number": "904-375-8100",
            "fax_number": "904-375-8101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14810 Old Saint Augustine Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322582558",
            "country_code": "US",
            "telephone_number": "904-423-0010",
            "fax_number": "904-423-0012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 Ponte Vedra Park Dr Ste 800",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320826610",
            "country_code": "US",
            "telephone_number": "904-423-0010",
            "fax_number": "904-423-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "904-819-4400"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FCHV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Alayne Fix, D.M.D
• Thomas James Fix, MD
• FL Department of Health (Duval County Health Department)
• FL Department of Health (Duval County Health Department)
• FL-I Medical Services, PA
• Marie Flaherty
• Erica Kirkland Flamm, DNP, APRN, FNP-BC
• Daniel Flanagan
• Jasminh Breanna Flanagan, ARNP
• John C Flanagan, MD

• Cardiovascular Disease Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.