PHYSICIANS GROUP SERVICES PA (NPI# 1427301670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427301670 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS GROUP SERVICES PA |
| Other Organization Name | COASTAL SURGICAL ASSOCIATES |
| Practice Address |
205 Zeagler Dr Palatka FL 32177-3888 |
| Mailing Address |
3839 County Road 218 Middleburg FL 32068-5708 |
| Practice Telephone | 3863128519 |
| Practice Fax Number | 3863128523 |
| Mailing Telephone | 9042826331 |
| Mailing Fax Number | 9042821550 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | MRS. ZANDA M CHANDLER (VICE PRESIDENT) |
| Authorized Official Telephone | 9042826331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 259123500 | 05 |
| Other Name | Type Code |
|---|---|
| Coastal Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841674314 | Physicians Group Services Pa | Pediatrics | 421 Kingsley Ave Ste 300, Orange Park, FL 32073-4898 | 2015-07-15 |
| 1861440810 | Physicians Group Services Pa | Nurse Practitioner | 3839 County Road 218, Middleburg, FL 32068-5708 | 2006-05-04 |
| 1932682986 | Physicians Group Services Pa | Clinic/Center | 421 Kingsley Ave Ste 400, Orange Park, FL 32073-4898 | 2018-09-14 |
| 1497118160 | Physicians Group Services Pa | Family Medicine | 14810 Old Saint Augustine Rd, Suite 207, Jacksonville, FL 32258-2451 | 2016-03-31 |
| 1699138362 | Physicians Group Services Pa | Family Medicine | 1689 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4817 | 2016-03-31 |
| 1962860619 | Physicians Group Services Pa | Podiatrist | 3839 County Road 218, Middleburg, FL 32068-5708 | 2016-02-09 |
| 1952706368 | Physicians Group Services Pa | Family Medicine | 2700 Riverside Ave, Suite 2, Jacksonville, FL 32205-8275 | 2014-10-28 |
| 1699170035 | Physicians Group Services Pa | Family Medicine | 13241 Bartram Park Blvd, Suite 1101, Jacksonville, FL 32258-5212 | 2014-10-28 |
| 1831530658 | Physicians Group Services Pa | Family Medicine | 421 Kingsley Ave, Orange Park, FL 32073-4897 | 2013-07-09 |
| 1598105686 | Physicians Group Services Pa | Family Medicine | 6816 Southpoint Pkwy, Suite 102, Jacksonville, FL 32216-1700 | 2013-07-03 |
| Street Address |
205 ZEAGLER DR |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-3888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184671844 | Jack M. Matheny II, M.d. | Internal Medicine | 205 Zeagler Dr, Ste 101, Palatka, FL 32177-3888 | 2006-05-28 |
| 1265973911 | First Coast Cardiovascular | Internal Medicine | 205 Zeagler Dr, Palatka, FL 32177-3888 | 2017-03-14 |
| 1225262108 | Michael Allen Hicks | Nurse Practitioner | 205 Zeagler Dr, Palatka, FL 32177-3888 | 2009-05-07 |
| 1740490945 | Jeffrey Reid Slotten | Dentist | 205 Zeagler Dr, Suite 502, Palatka, FL 32177-3888 | 2007-05-23 |
| 1457561672 | Jeffrey R. Slotten | Clinic/Center | 205 Zeagler Dr, Suite 502, Palatka, FL 32177-3888 | 2007-05-23 |
| 1407066582 | Richard A. Perallon | Dentist | 205 Zeagler Dr, Suite 301, Palatka, FL 32177-3888 | 2007-05-23 |
| 1154459832 | Julie Catherine Grout | Physical Therapist | 205 Zeagler Dr, Suite 401, Palatka, FL 32177-3888 | 2007-03-02 |
| 1598810343 | Anthony J Pacitti | Surgery | 205 Zeagler Dr, Suite 203, Palatka, FL 32177-3888 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| 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 |
|---|---|---|---|---|
| 1538122361 | Joseph Dean Stillword | Surgery | 800 Zeagler Dr Suite 320, Palatka, FL 32177 | 2006-04-11 |
| 1467414326 | Errol Norman Findlater | Surgery | 3314 Crill Ave, Palatka, FL 32177-4149 | 2006-04-05 |
| 1760875934 | Putnam Surgical Group, LLC | Surgery | 414 Zeagler Dr, Palatka, FL 32177-3815 | 2015-03-12 |
| 1881951804 | David Christopher Cummings | Surgery | 414 Zeagler Dr, Palatka, FL 32177-3815 | 2012-04-16 |
| 1780814988 | Canaday and Jagedo Physician Associates Pl | Surgery | 700 Zeagler Dr, Suite 6, Palatka, FL 32177-6806 | 2009-07-22 |
| 1457517203 | Putnam Physician Practices LLC | Surgery | 414 Zeagler Dr, Palatka, FL 32177-3815 | 2008-07-31 |
| 1679741524 | Christopher Willard Vincent Salzman | Surgery | 414 Zeagler Dr, Palatka, FL 32177-3815 | 2008-02-13 |
| 1558545319 | Joseph Mcdonald Armotrading II Md | Surgery | 3314 Crill Ave, Suite 1a, Palatka, FL 32177-4149 | 2007-12-28 |
| 1598810343 | Anthony J Pacitti | Surgery | 205 Zeagler Dr, Suite 203, Palatka, FL 32177-3888 | 2007-01-24 |
| 1922076165 | Khallad A Fares | Surgery | 800 Zeagler Dr, Suite 320, Palatka, FL 32177-3883 | 2006-03-14 |
| Find all providers in PALATKA | ||||
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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.