FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC. (NPI# 1033763487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033763487 |
| Entity Type | Organization |
| Organization Name | FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC. |
| Other Organization Name | FLAGLER HEALTH SURGICAL SPECIALISTS |
| Practice Address |
300 Health Park Blvd Ste 5002 St Augustine FL 32086-3705 |
| Mailing Address |
Po Box 3266 St Augustine FL 32085-3266 |
| Practice Telephone | 9048195861 |
| Practice Fax Number | 9048195862 |
| Mailing Telephone | 9048194602 |
| Mailing Fax Number | 9048194426 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | JASON PAUL BARRETT (AO) |
| Authorized Official Telephone | 9048194400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Flagler Health Surgical Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325987 | Flagler Professional Health Care Services Inc. | Radiology | 351 Town Plaza Avenue, 101, Ponte Vedra, FL 32081 | 2020-08-05 |
| Street Address |
300 HEALTH PARK BLVD STE 5002 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053610923 | Byron Layne Stapleton | Surgery | 300 Health Park Blvd Ste 5002, St Augustine, FL 32086 | 2011-03-17 |
| 1659888683 | Whitney Marie Marema | Registered Nurse | 300 Health Park Blvd Ste 5002, St Augustine, FL 32086-3705 | 2017-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053610923 | Byron Layne Stapleton | Surgery | 300 Health Park Blvd Ste 5002, St Augustine, FL 32086 | 2011-03-17 |
| 1952364713 | John S Koppman | Surgery | 201 Health Park Blvd, Suite 103, St Augustine, FL 32086-5796 | 2006-04-11 |
| 1508830480 | George Edward Sadowski | Surgery | 2460 Old Moultrie Rd, St Augustine, FL 32086-4197 | 2006-02-15 |
| 1437684032 | Jeremy Caudill Do | Surgery | 2460 Old Moultrie Rd Ste 3, St Augustine, FL 32086-4198 | 2017-04-21 |
| 1598192890 | John S. Koppman Md Pl | Surgery | 201 Health Park Blvd, Ste 103, St Augustine, FL 32086-5796 | 2013-10-01 |
| 1417103045 | Leopoldo B Gonzalez Md Pa | Surgery | 301 Health Park Blvd, Suite 323, St Augustine, FL 32086-5793 | 2008-08-14 |
| 1912052796 | Luiz Carlos Kuntz | Surgery | 301 Health Park Blvd, Suite 323, St Augustine, FL 32086-5793 | 2007-01-24 |
| 1558460667 | Ramanujam S Eyyunni | Surgery | 201 Health Park Blvd, Suite 107, St Augustine, FL 32086-5796 | 2006-09-22 |
| 1417054826 | Surgical Associates of North Florida LLC | Surgery | 2460 Old Moultrie Road, Suite 2, St Augustine, FL 32086-4198 | 2006-09-20 |
| 1043325848 | Michael Chang-chi Hsu | Surgery | 201 Health Park Blvd, Ste 107, St Augustine, FL 32086-5796 | 2006-08-20 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.