Individual provider Active NPI

Oscar Hunt Jerkins, M.D.

  • Adult Medicine Physician
  • Rockledge, FL
National Provider Identifier
1023028461
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME0078606 Issued in FL
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
46976OtherFLBLUE CROSS BLUE SHIELD
080193261OtherFLRR MEDICARE
P00950572OtherFLRAILROAD MEDICARE
1902878OtherFLUNITED HEALTHCARE
6237509OtherFLCIGNA
256742300MedicaidFL
7497042OtherFLAETNA

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

LicenseStateTypeSpecialty
ME0078606FLMDAdult 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.

Verify at the official NPI Registry.