MS. AYUMI E BELANGER PA-C NPI 1003001058
Physician Assistant (Medical) in Green Cove Springs, FL
About AYUMI BELANGER
Ayumi Belanger is a provider established in Green Cove Springs, Florida and her medical specialization is physician assistant. The NPI number of Ayumi Belanger is 1003001058 and was assigned on September 2007. The practitioner's primary taxonomy code is 363AM0700X with license number PA 9104224 (FL). The provider is registered as an individual and her NPI record was last updated 2 years ago.
| NPI | 1003001058 |
| Provider Name | MS. AYUMI E BELANGER PA-C |
| Provider Location Address | 91 BRANSCOMB RD SUITE 3 GREEN COVE SPRINGS, FL 32043 |
| Provider Mailing Address | PO BOX 1978 MIDDLEBURG, FL 32050 |
| Gender | Female |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-12-2007 |
| Last Update Date | 06-19-2017 |
Primary Taxonomy
| Taxonomy Code | 363AM0700X |
| Classification | Physician Assistant |
| Type | Physician Assistants & Advanced Practice Nursing Providers |
| Specialization | Medical |
| License No. | PA 9104224 |
| License State | FL |
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
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 |
|---|---|---|
| 292842600 | MEDICAID (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 |
|---|---|---|---|
| 1184657306 | MARIA E MORA MD PA Organization | Pediatrics | 91 BRANSCOMB RD SUITE 3 GREEN COVE SPRINGS, FL 32043 (904) 861-1034 |
| 1497187843 | HEALTHY SCHOOLS, LLC Organization | General Practice | 91 BRANSCOMB RD SUITE 3 GREEN COVE SPRINGS, FL 32043 (904) 834-2679 |
| 1538457874 | MRS. APRIL RAE STONE D.M.D. Individual | Dentist (General Practice) | 91 BRANSCOMB RD SUITE 7 GREEN COVE SPRINGS, FL 32043 (904) 284-6688 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary 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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.