SAINT AUGUSTINE HOSPITALISTS PRIMARY CARE (NPI# 1962977306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962977306 |
| Entity Type | Organization |
| Organization Name | SAINT AUGUSTINE HOSPITALISTS PRIMARY CARE |
| Practice Address |
1301 Plantation Island Dr S Ste 106a St Augustine FL 32080-3109 |
| Mailing Address |
Po Box 3123 St Augustine FL 32085-3123 |
| Practice Telephone | 9044609191 |
| Practice Fax Number | 9044714859 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | JAWAD FARHAT (PRESIDENT) |
| Authorized Official Telephone | 9044609191 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1301 PLANTATION ISLAND DR S STE 106A |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32080-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991925 | Healthy Minds Psychological Services, LLC | Psychologist | 825 Kalli Creek Lane, Saint Augustine, FL 32080 | 2020-04-16 |
| 1215456629 | Sidney Leigh Thomas | Specialist/Technologist | 976 Saltwater Circle, St. Augustine, FL 32080 | 2017-09-18 |
| 1285164855 | Mary Patricia Pichan | Speech-Language Pathologist | 2870 Peachtree Rd. #293, Atlanta, GA 32080 | 2017-06-15 |
| 1962947325 | Joseph Costine | Behavior Technician | 205 7th St. Apt.b, St. Augustine, FL 32080 | 2016-12-21 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1205207420 | Ana Greenberger | Nurse Practitioner | 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 | 2015-10-14 |
| 1598037202 | Dana Elizabeth Jones | Occupational Therapist | 3 Hannah Cole Dr., St. Augustine, FL 32080 | 2012-01-27 |
| 1205159423 | Chesapeake Hyperbaric Lc | Clinic/Center | 129 Seagrove Main Street, Unit 202, St. Augustine, FL 32080 | 2010-03-02 |
| 1306176037 | Barros Family Healthcare Pa | Clinic/Center | 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 | 2009-12-31 |
| 1609041995 | Tommy D Murphy | Specialist | 403 Anastasia Blvd., St. Augustine, FL 32080 | 2008-04-28 |
| Find all providers in zip 32080 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625801 | Gibson Medical Pa | Internal Medicine | 307 Alcazar St, St Augustine, FL 32080-3708 | 2020-10-06 |
| 1962719187 | Dr Syed W. Ali | Internal Medicine | 236 Southpark Cir E, St Augustine, FL 32086-5137 | 2010-09-09 |
| 1629244231 | Martin-jose Sepulveda | Internal Medicine | 412 Plantation Grove Ln, St Augustine, FL 32086-9120 | 2008-05-03 |
| 1326168931 | William S Kammerer | Internal Medicine | 1805 Windjammer Ln, St Augustine, FL 32084-5222 | 2007-03-29 |
| 1346380136 | Daniel Patrick Conlin | Internal Medicine | 209 Woodland Ave, St Augustine, FL 32080-6333 | 2007-02-08 |
| 1043381262 | David Brett Goldberg | Internal Medicine | 6010 A1a S, St Augustine, FL 32080-7018 | 2006-11-10 |
| 1215039870 | Qixia Huang | Internal Medicine | 1301 Plantation Island Dr S Ste 102a, St Augustine, FL 32080-3109 | 2006-09-03 |
| 1669482170 | Radhika Prakash | Internal Medicine | 2758 Us 1 South, St Augustine, FL 32086 | 2006-08-08 |
| 1124044664 | Matt T Neibaur | Internal Medicine | 1995 Us 1 South, St Augustine, FL 32086 | 2006-07-15 |
| 1447281530 | Goar De Lamerens | Internal Medicine | 3700 Us Highway 1 S, St Augustine, FL 32086-7150 | 2006-07-06 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32080 |
Please comment or provide details below to improve the information on SAINT AUGUSTINE HOSPITALISTS PRIMARY CARE.
| 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.