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PALM COAST OB GYN
NPI 1942590401
Obstetrics & Gynecology in Palm Coast, FL

Active since April 18, 2011CLIA 10D2023049 · Waiver
50 LEANNI WAY, SUITES A3 & A4, PALM COAST, FL 32137(386) 447-6831(386) 447-6834 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palm Coast Ob Gyn NPPES

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

PALM COAST OB GYN (NPI 1942590401) is a healthcare organization registered as an obstetrics & gynecology in Palm Coast, Florida and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Patricia Isabel Modad, President, as its authorized official.

NPPES Registry Identity

NPI1942590401
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePATRICIA MODAD, MD, PA
Location Address50 LEANNI WAY, SUITES A3 & A4Palm Coast, FL 32137-4751
Mailing Address50 Leanni Way, Suites A3 & A4Palm Coast, FL 32137-4751 · (386) 447-6831 · Fax (386) 447-6834
Phone(386) 447-6831
Fax(386) 447-6834
Organization SubpartNo
Authorized OfficialPatricia Isabel ModadPresident · (386) 447-6831
Enumeration DateApril 18, 2011
Last NPPES UpdateDecember 6, 2011
✔ NPI 1942590401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME 103310
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
50 LEANNI WAY, Palm Coast, FL 32137
Open in Google Maps ↗

Other Names 1

Doing Business AsPalm Coast Ob Gyn

Other Identifiers 1

Medicare PINEY172AFL

Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2023049

Palm Coast Ob Gyn · Palm Coast, FL
Active · expires Jun 1, 2027
CLIA Number10D2023049
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorPatricia Modad
Laboratory Phone(386) 447-6831
Laboratory LocationPalm Coast Ob Gyn7 Boulder Rock Dr Ste 4, Palm Coast, FL 32137
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

COASTAL HEALTHCARE PARTNERS, LLC
General Practice
50 LEANNI WAY, SUITE D1
PALM COAST, FL 32137
Flagler County (386) 283-5997
DR. PATRICIA ISABEL MODAD M.D., F.A.C.O.G.
Obstetrics & Gynecology
50 LEANNI WAY, SUITES A3 & A4
PALM COAST, FL 32137
Flagler County (386) 447-6831
SIBEL N GUELSEREN M.ED./ED.S.
Marriage & Family Therapist
50 LEANNI WAY, SUITE B-3
PALM COAST, FL 32137
Flagler County (386) 334-3777
DR. MICHAEL A OSBORNE JR. D.C.
Chiropractor
50 LEANNI WAY, UNIT D1
PALM COAST, FL 32137
Flagler County (386) 283-5997
MARY MEADERS GERBER, LCSW, INC.
Social Worker (Clinical)
50 LEANNI WAY, STE B-3
PALM COAST, FL 32137
Flagler County (386) 589-1736
MARY MEADERS GERBER LCSW
Social Worker (Clinical)
50 LEANNI WAY, SUITE B3
PALM COAST, FL 32137
Flagler County (386) 446-5494
BERNADETTE HRISTAKOPOULOS DC
Chiropractor
50 LEANNI WAY, SUITE D1
PALM COAST, FL 32137
Flagler County (386) 283-5997
MR. JOHN LAFORTE LCSW
Social Worker (Clinical)
50 LEANNI WAY, SUITE B-3
PALM COAST, FL 32137
Flagler County (386) 313-6166

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 Patricia Modad, MD, PA's NPI number?

The NPI number for Patricia Modad, MD, PA is 1942590401. It was assigned to this organization in the NPPES registry on April 18, 2011. The provider is doing business as Palm Coast Ob Gyn.

Where is Patricia Modad, MD, PA located?

Patricia Modad, MD, PA is located at 50 Leanni Way Suites A3 & A4, Palm Coast, FL 32137. The listed phone number is (386) 447-6831.

What is Patricia Modad, MD, PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Patricia Modad, MD, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2023049) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Patricia Modad, MD, PA was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.