ST. AUGUSTINE PEDIATRIC ASSOCIATES, PA
NPI 1447461421
Pediatrics in St Augustine, FL

NPI Status: Active since May 24, 2007

Contact Information

493 PROSPERITY LAKE DR
ST AUGUSTINE, FL
ZIP 32092
Phone: (904) 824-5437
Fax: (904) 824-7575

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pediatrics
Accepts Insurance

About ST. AUGUSTINE PEDIATRIC ASSOCIATES, PA

This page provides the complete NPI Profile along with additional information for St. Augustine Pediatric Associates, Pa, a pediatrician established in St Augustine, Florida operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1447461421 assigned on May 2007. The practitioner's primary taxonomy code is 208000000X with license number ME78696 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization 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 Michael Soberano M.d. (Owner)

NPI: 1447461421
Provider Name: ST. AUGUSTINE PEDIATRIC ASSOCIATES, PA
Entity Type: Organization
Location Address: 493 PROSPERITY LAKE DR ST AUGUSTINE, FL 32092
Location Phone: (904) 824-5437
Location Fax: (904) 824-7575
Mailing Address: 493 PROSPERITY LAKE DR ST AUGUSTINE, FL 32092
Mailing Phone: (904) 824-5437
Mailing Fax: (904) 824-7575
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 05-24-2007
Last Update Date: 07-21-2015
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A pediatrician like St. Augustine Pediatric Associates, Pa is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pediatrics
Taxonomy Code: 208000000X
Type: Allopathic & Osteopathic Physicians
License No.: ME78696
License State: FL
Taxonomy Description: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Superior HealthPlan

Clear VALUE Silver - HMO
Complete VALUE Gold - HMO
Focused VALUE Silver - HMO
Focused VALUE Silver + Vision + Adult Dental - HMO
Standard Gold VALUE - HMO
Standard Silver VALUE - HMO
Standard Silver VALUE + Vision + Adult Dental - HMO

Ambetter Health

Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete VALUE Gold - HMO
Complete VALUE Silver - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Silver - HMO
Elite Silver + Vision + Adult Dental - HMO
Elite VALUE Bronze - HMO
Enhanced Diabetes Care Silver with $0 Drug Options - HMO
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO
Focused Silver - HMO
Focused Silver + Vision + Adult Dental - HMO
Focused VALUE Silver - HMO
Standard Expanded Bronze - HMO
Standard Expanded Bronze + Vision + Adult Dental - HMO

Ambetter of Alabama

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO
Standard Expanded Bronze - EPO
Standard Expanded Bronze + Vision + Adult Dental - EPO
Standard Gold - EPO
Standard Gold + Vision + Adult Dental - EPO
Standard Silver - EPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MICHAEL SOBERANO M.D.
Authorized Official Title: OWNER
Authorized Official Phone: (904) 824-5437

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
257545101	MEDICAID (05)	FL

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	4	7	4	6	1	4	2	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	8	7	8	6	2	4	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 8 + 6 + 2 + 4 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1									1

The NPI number 1447461421 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.