MS. AYUMI E BELANGER PA-C NPI 1003001058

Physician Assistant (Medical) in Green Cove Springs, FL

About AYUMI BELANGER

Ayumi Belanger is a provider in Green Cove Springs, FL. The NPI number assigned to this provider is 1003001058. The practitioner's primary taxonomy code is Physician Assistant (363AM0700X). The provider is registered as an individual and their NPI record was last updated one year ago.

NPI

1003001058

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMS. AYUMI E BELANGER PA-C
Provider Location Address91 BRANSCOMB RD SUITE 3 GREEN COVE SPRINGS, FL 32043 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 1978 MIDDLEBURG, FL 32050 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-12-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date06-19-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code363AM0700X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationMedical
License No.PA 9104224
License StateFL

Business Address

MS. AYUMI E BELANGER PA-C
91 BRANSCOMB RD
SUITE 3
GREEN COVE SPRINGS, FL
ZIP 32043
Phone: (904) 861-1034
Fax: (904) 861-1037

Map Location


Google Map

Get Directions

Mailing Address

MS. AYUMI E BELANGER PA-C
PO BOX 1978
MIDDLEBURG, FL
ZIP 32050
Phone: (904) 282-6331
Fax: (904) 282-1550

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
292842600MEDICAID (05)FL

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184657306MARIA E MORA MD PA
Organization
Pediatrics91 BRANSCOMB RD SUITE 3
GREEN COVE SPRINGS, FL 32043
(904) 861-1034
1497187843HEALTHY SCHOOLS, LLC
Organization
General Practice91 BRANSCOMB RD SUITE 3
GREEN COVE SPRINGS, FL 32043
(904) 834-2679
1538457874MRS. APRIL RAE STONE D.M.D.
Individual
Dentist (General Practice)91 BRANSCOMB RD SUITE 7
GREEN COVE SPRINGS, FL 32043
(904) 284-6688
Previous NPI
1003001041
Next NPI
1003001066