JOHN R ISTAD PA
NPI 1720381452
Clinic/Center - Medical Specialty in Port Saint Lucie, FL

Q: What is John R Istad PA's NPI number?

The NPI number for John R Istad PA is 1720381452. It was assigned to this organization in the NPPES registry on December 20, 2010.

Q: What is John R Istad PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Q: When was this NPI record last updated?

The NPPES record for John R Istad PA was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 20, 2010

1105 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952(772) 398-5400(772) 398-6600 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John R Istad Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN R ISTAD PA (NPI 1720381452) is a healthcare organization registered as a medical specialty in Port Saint Lucie, Florida and active in the NPI registry since December 2010. The organization lists John R Istad, Owner, as its authorized official.

NPPES Registry Identity

NPI1720381452

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameJOHN R ISTAD PA

Location Address1105 SE PORT ST LUCIE BLVDPort Saint Lucie, FL 34952-5332

Mailing Address1105 Se Port St Lucie BlvdPort Saint Lucie, FL 34952-5332 · (772) 398-5400 · Fax (772) 398-6600

Phone(772) 398-5400

Fax(772) 398-6600

Organization SubpartNo

Authorized OfficialJohn R IstadOwner · (772) 398-5400

Enumeration DateDecember 20, 2010

Last NPPES UpdateMarch 11, 2011

✔ NPI 1720381452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in FL · CH6232

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1105 SE PORT ST LUCIE BLVD, Port Saint Lucie, FL 34952

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Other Identifiers 2

Medicare PIN22649FL

Medicare UPINU24555FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN R ISTAD D.C.

Chiropractor

1105 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952

St. Lucie County (772) 398-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John R Istad PA's NPI number?

The NPI number for John R Istad PA is 1720381452. It was assigned to this organization in the NPPES registry on December 20, 2010.

Where is John R Istad PA located?

John R Istad PA is located at 1105 SE Port St Lucie Blvd, Port Saint Lucie, FL 34952. The listed phone number is (772) 398-5400.

What is John R Istad PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for John R Istad PA was last updated on March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.