Active NPI
Dudley a Baringer MD PA
- Urgent Care Clinic/Center
- Saint Augustine, FL
National Provider Identifier
1972677227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- ME0040283
- Legal business name
- DUDLEY A BARINGER MD PA
- Practice address
- 120 Health Park Blvd
Ste 1
Saint Augustine, FL 32086-5798 - Phone
- (904) 823-3401
- Fax
- (904) 829-8649
- NPI assigned
- Nov 20, 2006
- 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
- Dudley A Baringer, MD
- Title
- Owner President
- Phone
- (904) 823-3401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | ME0040283 | FL | Primary |
Addresses
Primary practice location
120 Health Park Blvd
Ste 1
Saint Augustine, FL 32086-5798
Mailing address
120 Health Park Blvd
Ste 1
Saint Augustine, FL 32086-5798
Phone (904) 823-3401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20054 | Other | FL | BCBS |
Other names 1
- Healing Arts Urgent Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217462400000",
"number": "1972677227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 HEALTH PARK BLVD",
"address_2": "STE 1",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865798",
"telephone_number": "904-823-3401",
"fax_number": "904-829-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HEALTH PARK BLVD",
"address_2": "STE 1",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865798",
"telephone_number": "904-823-3401",
"fax_number": "904-829-8649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUDLEY A BARINGER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2008-07-31",
"status": "A",
"authorized_official_last_name": "BARINGER",
"authorized_official_first_name": "DUDLEY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "904-823-3401",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "FL",
"license": "ME0040283",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20054",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Healing Arts Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.