NPIMap

Individual provider Active NPI

Christopher J Zub, D.O.

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1972560506
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8279 Issued in FL
Practice address
130 Health Park Blvd.
St. Augustine, FL 32086-5776
Phone
(904) 826-3469
Fax
(904) 808-4608
NPI assigned
Apr 27, 2006
Last updated
Jul 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 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 OS8279 FL Primary

Addresses

Primary practice location

130 Health Park Blvd.
St. Augustine, FL 32086-5776

Mailing address

130 Health Park Blvd.
St. Augustine, FL 32086-5776
Phone (904) 826-3469

Other identifiers 2

IdentifierTypeStateIssuer
0266671500MedicaidFL
080186312OtherFLPALMETTO GBA RAILROAD MED

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
I20100820000995 FL Practitioner - Family Practice 5092849307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flagler Family Medicine P aGroup PAC ID 9335114347, 13 clinicians

Practice addresses (Care Compare)

130 Health Park Blvd
St Augustine, FL 32086-5776
Phone (904) 826-3469

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions20
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Family Medicine P a Family Medicine CurrentSince Jul 1, 2002 Accepting new patients
Flagler Family Nursing Home Care LLC Family Medicine CurrentSince May 1, 2021 Accepting new patients
Flagler Family Medicine PA Family Medicine CurrentSince Jul 1, 2002 Accepting new patients

Locations

6277 A1A S
Ste 102
Saint Augustine, FL 32080

130 Health Park Blvd
St Augustine, FL 32086
Phone (904) 826-3469

315 W Town Pl
Ste 1
St Augustine, FL 32092
Phone (904) 429-4736

6277 A1A S
Ste 101
St Augustine, FL 32080

Interoperability endpoints

  • Direct secure messaging: christopher.zub@flaglerffm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ADBCAA

Organizations & group practices 3

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 7

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1972560506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HEALTH PARK BLVD.",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "320865776",
            "telephone_number": "904-826-3469",
            "fax_number": "904-808-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HEALTH PARK BLVD.",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "320865776",
            "telephone_number": "904-826-3469",
            "fax_number": "904-808-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUB",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266671500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MED",
            "identifier": "080186312",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.