MAINLAND PHYSICIANS GROUP LLC NPI 1003419763

Family Medicine (Geriatric Medicine) in St Augustine, FL

NPI 1003419763 Organization Family Medicine Geriatric Medicine

About MAINLAND PHYSICIANS GROUP LLC

Mainland Physicians Group Llc is a primary care provider established in St Augustine, Florida specializing in family medicine (geriatric medicine) . The NPI number of Mainland Physicians Group Llc is 1003419763 and was assigned on November 2020. The practitioner's primary taxonomy code is 207QG0300X. The provider is registered as an organization and their NPI record was last updated one year ago. Mainland Physicians Group Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. John Paul James Shaddock (Director Of Network Managment)

A primary care provider (PCP) like Mainland Physicians Group Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1003419763

Provider NameMAINLAND PHYSICIANS GROUP LLC
Provider Location Address100 ARRICOLA AVE ST AUGUSTINE, FL 32080
Provider Mailing Address100 ARRICOLA AVE ST AUGUSTINE, FL 32080
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-17-2020
Last Update Date11-17-2020


Primary Taxonomy

Taxonomy Code207QG0300X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGeriatric Medicine
Taxonomy DescriptionA family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Business Address

MAINLAND PHYSICIANS GROUP LLC
100 ARRICOLA AVE
ST AUGUSTINE, FL
ZIP 32080
Phone: (904) 825-4368
Fax: (904) 825-9107

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Mailing Address

MAINLAND PHYSICIANS GROUP LLC
100 ARRICOLA AVE
ST AUGUSTINE, FL
ZIP 32080
Phone: (904) 825-4368
Fax: (904) 825-9107



Authorized Official

Authorized Official NameMR. JOHN PAUL JAMES SHADDOCK
Authorized Official TitleDIRECTOR OF NETWORK MANAGMENT
Authorized Official Phone(850) 341-6322

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457323834MR. EUGENE KINNALY P.A.
Individual
Physician Assistant (Medical)100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
(904) 825-4701
1760595821 ROY H HINMAN MD PA
Individual
Family Medicine100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
(904) 825-4368
1154423267 WILLIAM D BERMEO PAC
Individual
Family Medicine100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
(904) 825-4368
1942535042MS. ANNA IV PA
Individual
Physician Assistant100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
(904) 825-4368
1225456155V.I.P MD CARE LLC
Organization
Internal Medicine100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
(954) 586-8058
1639382922 DIGNA ACOSTA
Individual
Family Medicine100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
(904) 825-4368
1235615295 ROSE BOSCAINO ARNP
Individual
Nurse Practitioner (Family)100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
(904) 825-4368
1770142523PATRIOT ONCOLOGY LLC
Organization
Clinic/Center (Oncology)100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
(904) 825-4368
1568083889ISLAND DOCTORS INTRASTATE LLC
Organization
Clinic/Center (Primary Care)100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
(904) 825-4368
1669092110 SARA MARIE OCAMPO DENSLOW APRN
Individual
Nurse Practitioner (Family)100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
(904) 825-4368
1669053351ECHO MANAGED CARE, LLC
Organization
Clinic/Center (Primary Care)100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
(904) 825-4368

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.