OBGYN ASSOCIATES OF ST AUGUSTINE PA NPI 1659337756

NPI Information

  • NPI: 1659337756
  • Provider Name: OBGYN ASSOCIATES OF ST AUGUSTINE PA
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 10D2015747
  • Address: 300 HEALTH PARK BLVD
    STE 3002
    ST AUGUSTINE, FL
    ZIP 32086
  • Phone: (904) 819-1500

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NPI Details

OBGYN ASSOCIATES OF ST AUGUSTINE PA is an obstetrics gynecology in St Augustine, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OBGYN ASSOCIATES OF ST AUGUSTINE PA NPI is 1659337756. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 HEALTH PARK BLVD
STE 3002
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 819-1500
Fax: (904) 810-1023

The provider's authorized official is Susan Yarian .
The authorized official title is President and has the following contact phone number (904) 819-1500.

The CLIA number assigned to this NPI record is 10D2015747 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 12/3/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology0066572FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1264245000MEDICAIDFLORIDA
2F87716MEDICARE UPIN
3K2703MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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