MCCAULIE PRIMARY CARE P A (NPI# 1417083171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417083171 |
| Entity Type | Organization |
| Organization Name | MCCAULIE PRIMARY CARE P A |
| Practice Address |
520 A1a N Suite 201 Ponte Vedra Beach FL 32082-5212 |
| Practice Telephone | 9042805700 |
| Practice Fax Number | 9042805703 |
| Mailing Telephone | 9042805700 |
| Mailing Fax Number | 9042805703 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | JOHN ROBERT MCCAULIE (PRESIDENT) |
| Authorized Official Telephone | 9042805700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME 000054470 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 378911000 | 05 |
| Street Address |
520 A1A N SUITE 201 |
| City | PONTE VEDRA BEACH |
| State | FL |
| Zip Code | 32082-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275883704 | Jessica Zarou Dellorso | Physician Assistant | 520 A1a N, Suite 101, Ponte Vedra Beach, FL 32082-5212 | 2012-09-12 |
| 1912160144 | Baptist Pediatrics | Pediatrics | 520 A1a N, Suite 102, Ponte Vedra Beach, FL 32082-5212 | 2008-07-08 |
| 1982865283 | Christina Anderson Conner | Pediatrics | 520 A1a N, Suite 102, Ponte Vedra Beach, FL 32082-5212 | 2008-06-19 |
| 1902087836 | Baptist Primary Care | Internal Medicine | 520 A1a N, Suite 101, Ponte Vedra Beach, FL 32082-5212 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1568988129 | Mustafa Bakir | General Practice | 1102 A1a, Ponte Vedra Beach, FL 32082 | 2017-08-16 |
| 1457890584 | Angelyn Sorgen | Nurse Practitioner | 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 | 2017-02-22 |
| 1033575121 | Balanced Physician Care Pa | Family Medicine | 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 | 2016-01-06 |
| 1528436060 | Robert Thompson II | Chiropractor | 135 Professional Drive, Suite 105, Ponte Vedra Beach, FL 32082 | 2015-09-14 |
| 1144628439 | Integrative Medical Group, Usa, LLC | Clinic/Center | 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082 | 2014-12-18 |
| 1811308901 | Janice Wachtel, Phd, LLC | Psychologist | 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 | 2014-05-12 |
| 1578991154 | Nicole Theiler | Counselor | 171 Canal Blvd, Ponte Vedra Beach, FL 32082 | 2013-10-17 |
| 1982948006 | Daisamma Varghese | Nurse Practitioner | 860 A1an, Ponte Vedra, FL 32082 | 2012-11-15 |
| Find all providers in zip 32082 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246670 | Baptist Primary Care Inc | Family Medicine | 832 A1a N Ste 6, Ponte Vedra Beach, FL 32082-3216 | 2020-05-07 |
| 1033575121 | Balanced Physician Care Pa | Family Medicine | 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 | 2016-01-06 |
| 1063898864 | West Jax Skilled Nursing | Family Medicine | 100 Cypress Lagoon Ct, Ponte Vedra Beach, FL 32082-2106 | 2015-08-04 |
| 1811056310 | Kyle Clinic | Family Medicine | 1110 A1a N Ste 101, Ponte Vedra Beach, FL 32082-4071 | 2006-12-08 |
| 1467457721 | Adla Adi | Family Medicine | 37 Players Club Villas Rd, Ponte Vedra Beach, FL 32082-3103 | 2005-06-14 |
| 1710274642 | Elicia D Roos | Family Medicine | 520 A1a N Ste 101, Ponte Vedra Beach, FL 32082-2260 | 2011-06-29 |
| 1841599438 | Charmaine A Aguirre | Family Medicine | 1100 Sawgrass Village Dr, Suite 100, Ponte Vedra Beach, FL 32082-5048 | 2011-03-22 |
| 1033430871 | Thomas A. Tomlin M.d. Pa | Family Medicine | 1100 Sawgrass Village Dr, Suite 100, Ponte Vedra Beach, FL 32082-5048 | 2010-06-16 |
| 1427073907 | Thomas Allen Tomlin | Family Medicine | 1100 Sawgrass Village Dr, Ste 100, Ponte Vedra Beach, FL 32082-5048 | 2006-07-13 |
| 1316988173 | Eric J Norenberg | Family Medicine | 228 Ponte Vedra Park Dr Ste 500, Ponte Vedra Beach, FL 32082-6611 | 2006-06-10 |
| Find all providers in PONTE VEDRA BEACH | ||||
| City | PONTE VEDRA BEACH |
| Zip Code | 32082 |
Please comment or provide details below to improve the information on MCCAULIE PRIMARY CARE P A.
| 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.