Active NPI
Oscar Hunt Jerkins, M.D.
- Adult Medicine Physician
- Rockledge, FL
National Provider Identifier
1023028461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- ME0078606
- Practice address
- 9 Orange Ave
Rockledge, FL 32955-2945 - Phone
- (888) 974-5556
- Fax
- (888) 974-5557
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | ME0078606 | FL | Primary |
Addresses
Primary practice location
9 Orange Ave
Rockledge, FL 32955-2945
Mailing address
9 Orange Ave
Rockledge, FL 32955
Phone (888) 974-5556
Other practice location 1
7250 Parkway Dr Ste 400
Hanover, MD 21076-3400
Phone (410) 712-6949
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46976 | Other | FL | BLUE CROSS BLUE SHIELD |
| 080193261 | Other | FL | RR MEDICARE |
| P00950572 | Other | FL | RAILROAD MEDICARE |
| 1902878 | Other | FL | UNITED HEALTHCARE |
| 6237509 | Other | FL | CIGNA |
| 256742300 | Medicaid | FL | |
| 7497042 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0078606 | FL | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1023028461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 ORANGE AVE",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "32955",
"telephone_number": "888-974-5556",
"fax_number": "888-974-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 ORANGE AVE",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552945",
"telephone_number": "888-974-5556",
"fax_number": "888-974-5557"
}
],
"practiceLocations": [
{
"address_1": "7250 Parkway Dr Ste 400",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "MD",
"postal_code": "210763400",
"country_code": "US",
"telephone_number": "410-712-6949",
"fax_number": "615-932-8703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JERKINS",
"first_name": "OSCAR",
"middle_name": "HUNT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "ME0078606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "46976",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080193261",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00950572",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1902878",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6237509",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "256742300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7497042",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.