PHYSICIANS GROUP SERVICES PA (NPI# 1609117845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609117845 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS GROUP SERVICES PA |
| Other Organization Name | COASTAL SPECIALTIES |
| Practice Address |
1560 Kingsley Ave Suite 3 Orange Park FL 32073-4593 |
| Mailing Address |
3839 County Road 218 Middleburg FL 32068-5708 |
| Practice Telephone | 9042826331 |
| Practice Fax Number | 9042821550 |
| Mailing Telephone | 9042826331 |
| Mailing Fax Number | 9042821550 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |
| Authorized Official Name | MRS. ZANDA M CHANDLER (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 9042826331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 259123500 | 05 |
| Other Name | Type Code |
|---|---|
| Coastal Specialties | 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 |
1560 KINGSLEY AVE SUITE 3 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760468912 | David Scribner Hyler II | Obstetrics & Gynecology | 1560 Kingsley Ave, Suite 4, Orange Park, FL 32073-4593 | 2005-12-20 |
| 1568097095 | Anne G Crosby | Advanced Practice Midwife | 1560 Kingsley Ave, Suite 4, Orange Park, FL 32073-9200 | 2020-03-04 |
| 1003283441 | Danielle Harper Key | Nurse Practitioner | 1560 Kingsley Ave, Suite 4, Orange Park, FL 32073-4593 | 2015-09-01 |
| 1124253158 | David S Hyler II Md Pa | Obstetrics & Gynecology | 1560 Kingsley Ave, Suite 4, Orange Park, FL 32073-4593 | 2009-05-19 |
| 1790961605 | Lawrence E Whiting | Social Worker | 1560 Kingsley Ave, Suite 1, Orange Park, FL 32073-4593 | 2008-01-10 |
| 1649463662 | Sunny Sundeep Sandhu | Specialist | 1560 Kingsley Ave, Orange Park, FL 32073-4593 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750319026 | George Sawday Tellam | Podiatrist | 981 Kingsley Ave, Orange Park, FL 32073-4742 | 2006-06-28 |
| 1457665663 | First Coast Podiatric Surgery and Wound Care LLC | Podiatrist | 1409 Kingsley Ave, Suite 9-g, Orange Park, FL 32073-4537 | 2010-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on PHYSICIANS GROUP SERVICES PA.
| 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.