Individual provider Active NPI

Jarrod Marc Frydman, D.O.

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1013957356
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8247 Issued in FL
Practice address
350 N Pine Island Rd
Suite #302
Plantation, FL 33324-1849
Phone
(954) 581-8272
Fax
(954) 581-8382
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8247 FL Primary

Addresses

Primary practice location

350 N Pine Island Rd
Suite #302
Plantation, FL 33324-1849

Mailing address

350 N Pine Island Rd
Suite #302
Plantation, FL 33324-1849
Phone (954) 581-8272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000576 FL Practitioner - Family Practice 9830277375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hernando Pasco Primary Care LLCGroup PAC ID 0547231474, 88 clinicians

Practice addresses (Care Compare)

8251 W Broward Blvd
Plantation, FL 33324-2703
Phone (954) 581-8272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS8247FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Pasco Primary Care LLC Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Mycare Medical of Texas, PLLC Family Medicine PastSince Mar 12, 2024 Accepting new patients

Locations

11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032

3465 Galt Ocean Dr
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 566-7775

1785 Northpointe Pkwy
Ste 300
Lutz, FL 33558
Phone (813) 536-7277

8251 W Broward Blvd
Ste 102
Plantation, FL 33324
Phone (954) 271-8880

350 N Pine Island Rd
Ste 302
Plantation, FL 33324
Phone (954) 581-8272

Interoperability endpoints

  • Direct secure messaging: jarrod.frydman@809235966787588.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD

Organizations & group practices 2

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1013957356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N PINE ISLAND RD",
            "address_2": "SUITE #302",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241849",
            "telephone_number": "954-581-8272",
            "fax_number": "954-581-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N PINE ISLAND RD",
            "address_2": "SUITE #302",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241849",
            "telephone_number": "954-581-8272",
            "fax_number": "954-581-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYDMAN",
        "first_name": "JARROD",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.