St Vincents Pathology Associates PA
NPI 1114074200 · Anatomic Pathology & Clinical Pathology Physician · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Vincents Pathology Associates PA is a Anatomic Pathology & Clinical Pathology Physician organization in Jacksonville, FL (NPI 1114074200).
Provider details
- NPI number
- 1114074200
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Don Destephano, President(904) 308-7300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Frequently asked questions
- What is St Vincents Pathology Associates PA's NPI number?
- St Vincents Pathology Associates PA's National Provider Identifier (NPI) is 1114074200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Vincents Pathology Associates PA?
- St Vincents Pathology Associates PA is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is St Vincents Pathology Associates PA located?
- St Vincents Pathology Associates PA's practice location on file with NPPES is 1 Shircliff Way, Jacksonville, FL 32204-4748.
- What is St Vincents Pathology Associates PA's phone number?
- The practice phone number listed in the NPPES registry for St Vincents Pathology Associates PA is (904) 308-7300.
- Does St Vincents Pathology Associates PA accept Medicare?
- St Vincents Pathology Associates PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St Vincents Pathology Associates PA?
- The authorized official listed on St Vincents Pathology Associates PA's NPPES record is Don Destephano, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Vincents Pathology Associates PA's NPI active?
- Yes — St Vincents Pathology Associates PA's NPI (1114074200) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.