ST VINCENTS FAMILY MEDICINE CENTER
NPI 1427005131
Clinic/Center - Primary Care in Jacksonville, FL
NPI Status: Active since May 28, 2006
Contact Information
2627 RIVERSIDE AVE
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 308-7372
- Organization
- Clinic/Center
- Primary Care
- Accepts Insurance
About ST VINCENTS FAMILY MEDICINE CENTER
This page provides the complete NPI Profile along with additional information for St Vincents Family Medicine Center, a primary care provider established in Jacksonville, Florida operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1427005131 assigned on May 2006. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as St Vincents Family Medicine Center. The authorized official of this NPI record is Gene Miyamoto (Coo)
- NPI
- 1427005131
- Provider Legal Name
- ST VINCENTS MEDICAL CENTER INC
- Other Organization Name
- ST VINCENTS FAMILY MEDICINE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204
- Location Phone
- (904) 308-7372
- Mailing Address
- 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204
- Mailing Phone
- (904) 308-7372
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-28-2006
- Last Update Date
- 03-26-2010
- Code Navigator
A primary care provider (PCP) like St Vincents Family Medicine Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- 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
- 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
- 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
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
- AvMed Entrust Silver 550 (2025) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
- AvMed Entrust Silver Standard (2025) - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
- BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
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.
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 |
|---|---|---|---|
| 99612 | MEDICARE ID-TYPE UNSPECIFIED (04) | FL | |
| 057339600 | MEDICAID (05) | FL | |
| CN4605 | MEDICARE ID-TYPE UNSPECIFIED (04) | FL | RAILROAD |
| 99612 | OTHER (01) | FL | BCBS |
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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 | 2 | 7 | 0 | 0 | 5 | 1 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 0 | 10 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 0 + 1 + 0 + 1 + 6 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1427005131 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770575052 | MR. BELTON CRAIG RAY M.D. Individual | Family Medicine (Geriatric Medicine) | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1588656862 | DR. JAMES E SELTZER D.O. Individual | Obstetrics & Gynecology | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1336131770 | MRS. HELENA JANE KARNANI M.D. Individual | Family Medicine | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1306838743 | MR. DAVID ALAN MCINNES M.D. Individual | Family Medicine | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1205828548 | MR. BRUCE J MCINTOSH M.D. Individual | Pediatrics | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1518959857 | MR. CHARLES LEE HARKNESS D.O. Individual | Family Medicine | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1295727543 | MRS. DONNA ROBIN POTTS M.D. Individual | Family Medicine | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1508858861 | MR. RICHARD KENNETH PETERSON M.D. Individual | Family Medicine | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1124099957 | JOHN W WAIDNER M.D. Individual | Pediatrics | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1306892146 | MRS. MARIA MAHMOODI M.D. Individual | Family Medicine | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1063468247 | MRS. SONYA JEAN DOMINGUEZ M.D. Individual | Family Medicine | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1912094574 | TERRENCE L SOLDO DO Individual | Family Medicine | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1598955122 | DONNA MARIE VANLOOCK ARNP Individual | Nurse Practitioner (Family) | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1154517308 | RHONDA RENE LORENZ M.D. Individual | Family Medicine | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7374 |
| 1659550556 | DR. EDWARD JOHN SHAHADY MD Individual | Family Medicine | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1477878486 | ST VINCENTS PHYSICIAN ENTERPRISE INC Organization | Clinic/Center | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1407169451 | DAVID M DRINKARD PT Individual | Physical Therapist (Orthopedic) | 2627 RIVERSIDE AVE 3RD FLOOR JACKSONVILLE, FL 32204 (904) 634-0640 |
| 1386930493 | BENJAMIN T O'CONNELL D.O. Individual | Family Medicine | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1497041701 | SENA DURAKOVIC M.D. Individual | Family Medicine | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
| 1235425547 | TAYLOR LEIGH BURCH BARNIKEL M.D. Individual | Family Medicine | 2627 RIVERSIDE AVE JACKSONVILLE, FL 32204 (904) 308-7372 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427005131, enumerated in the NPI registry as an "organization" on May 28, 2006
The provider is located at 2627 Riverside Ave Jacksonville, Fl 32204 and the phone number is (904) 308-7372
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Superior. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.