JONATHAN BARON NPI 1639542673

NPI Information

NPI: 1639542673
Provider Name: JONATHAN BARON
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: ADVANCED UROLOGY INSTITUTE, LLC

PECOS Registration: Yes

Address:
240 SOUTHPARK CIR E
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 824-1450
Get Directions

Jonathan Baron is a medical physician assistant in St Augustine, FL with 9 years of experience. Jonathan Baron NPI is 1639542673. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

240 SOUTHPARK CIR E
ST AUGUSTINE, FL
ZIP 32086-137
Phone: (904) 824-1450

The NPI 1639542673 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/12/2015 and was last updated on 2/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	MA057846	PENNSYLVANIA	No
2	363AM0700X	Physician Assistant	Medical	PA9110206	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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