North Florida Specialists in Lung Diseases & Internal Medicine PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

NORTH FLORIDA SPECIALISTS IN LUNG DISEASES & INTERNAL MEDICINE PA

Practice address

301 Health Park Blvd
Suite # 326
St Augustine, FL 32086-5771

Phone

(904) 824-4532

Fax

(904) 824-4024

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sebastian Josephkutty, M.D; FCCP.NPI 1598840001

Title

President

Phone

(904) 824-4532

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sebastian - Josephkutty, M.D; FCCP.

  • Pulmonary Disease Physician
  • St Augustine, FL
  • NPI 1598840001

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Robert W Olds Jr., MD

  • Psychiatry Physician
  • St Augustine, FL
  • NPI 1164573663
  NPD
• Linda Ann Olds, L.C.S.W.

  • Clinical Social Worker
  • Saint Augustine, FL
  • NPI 1699826198
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1982789079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD",
            "address_2": "SUITE # 326",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865771",
            "telephone_number": "904-824-4532",
            "fax_number": "904-824-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD",
            "address_2": "SUITE # 326",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865771",
            "telephone_number": "904-824-4532",
            "fax_number": "904-824-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA SPECIALISTS IN LUNG DISEASES & INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "JOSEPHKUTTY",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-824-4532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D; FCCP."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255224800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia H Nordman
• Taylor Ann Norman
• Kayla Michelle Norris
• North Florida Anesthesia Consultants, Inc.
• North Florida Behavior Consultants, LLC
• North Florida Sports and Spine Center Inc.
• Northeast Florida Endocrine and Diabetes Associates, PA
• Northeast Florida Endocrine and Diabetes Associates, PA
• Northeast Rebound Physical Therapy Inc
• Northland Hearing Centers, Inc.

• Pulmonary Disease Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.