Individual provider Active NPI

Jonathan Mayer, DO

  • Emergency Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1013938547
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS0006195 Issued in FL
Practice address
2323 9TH Ave N
St Petersburg, FL 33713-6832
Phone
(727) 328-6185
Fax
(727) 328-6187
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS0006195 FL Primary

Addresses

Primary practice location

2323 9TH Ave N
St Petersburg, FL 33713-6832

Mailing address

13528 Westshire Dr
Tampa, FL 33618-2500
Phone (813) 264-4929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090521000165 FL Practitioner - Family Practice 6901955947
I20160917000389 TX Practitioner - Emergency Medicine 6901955947 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0006195FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thoreau Clinic CurrentSince Aug 24, 2016 Accepting new patients
Pueblo Pintado Clinic CurrentSince Aug 24, 2016 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Sabal Palm Emergency Physicians Emergency Medicine Past Accepting new patients
Clover Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1013938547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13528 WESTSHIRE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182500",
            "telephone_number": "813-264-4929",
            "fax_number": "727-507-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136832",
            "telephone_number": "727-328-6185",
            "fax_number": "727-328-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS0006195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.