ST. JOHNS INTERVENTIONAL AND VASCULAR INSTITUTE – NPI #1447767686
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

ST. JOHNS INTERVENTIONAL AND VASCULAR INSTITUTE is a radiologist located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1447767686 to ST. JOHNS INTERVENTIONAL AND VASCULAR INSTITUTE on January 09, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 5 years ago on Jun 03, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. JOHNS INTERVENTIONAL AND VASCULAR INSTITUTE below.

NPI Profile for
ST. JOHNS INTERVENTIONAL AND VASCULAR INSTITUTE

NPI Number
1447767686
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. JOHNS INTERVENTIONAL AND VASCULAR INSTITUTE
Primary location
8767 PERIMETER PARK BLVD
JACKSONVILLE, FL 32216-5479
Phone: (904) 402-8346 Fax: (904) 402-8347
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES ST. GEORGE
CEO
Phone: (904) 402-8346
Updated
Certification Date
Jun 03, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)
202K00000X
- Phlebology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.