Ronald Victor Emmanuel

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11016116 Issued in FL

Practice address

4302 W Broward Blvd
Plantation, FL 33317-3780

Phone

(954) 644-8902

Fax

(877) 967-5710

NPI assigned

Jul 7, 2022

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Florida International Univ, College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ronald.emmanuel.p1@direct.caremax.nextgenshare.com

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

• Claremedica Viking LLC

  • Family Medicine Physician
  • Homestead, FL
  • NPI 1992520118
  Medicare reassignment Care Compare group NPD
• Caremax Medical Center of Broward LLC

  • Primary Care Clinic/Center
  • Plantation, FL
  • NPI 1871937987
  Medicare reassignment NPD
• Interamerican Medical Center Group LLC

  dba IMC Health

  • Family Medicine Physician
  • Miami, FL
  • NPI 1144543216
  Medicare reassignment NPD
• Caremax Medical Center of Broward LLC

  • Clinic/Center
  • Deerfield Beach, FL
  • NPI 1710680681
  NPD
• Caremax Medical Center of Broward, LLC

  • Clinic/Center
  • Pompano Beach, FL
  • NPI 1285342022
  NPD
• Interamerican Medical Center Group LLC

  dba Imc Health

  • Family Medicine Physician
  • Miami, FL
  • NPI 1447547765
  NPD
• Interamerican Medical Center Group LLC

  dba IMC Health

  • Family Medicine Physician
  • Miami, FL
  • NPI 1982146122
  NPD
• Senior Medical Associates LLC

  • Family Medicine Physician
  • Coral Springs, FL
  • NPI 1881358299
  NPD (past)

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1053044081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292",
            "telephone_number": "305-649-8100",
            "fax_number": "877-967-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 W BROWARD BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173780",
            "telephone_number": "954-644-8902",
            "fax_number": "877-967-5710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4306 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333173752",
            "country_code": "US",
            "telephone_number": "954-644-8902",
            "fax_number": "877-967-5710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMANUEL",
        "first_name": "RONALD",
        "middle_name": "VICTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-07",
        "last_updated": "2024-07-11",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11016116",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11016116",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11016116",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "FL",
            "license": "11016116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew S Ellowitz, MD
• Latoya K Elmes, FNP-C
• Joseph Elyakim, MD
• Em9699 LLC
• Emm Medical Center Group Inc
• Employment Enterprises, Inc.
• Empowered Flower (Adena Health Services)
• Empowered Flower Inc (Sydney Health and Wellness)
• Empowerment Counseling Group, Inc
• Empowerment Solutions Therapy, LLC

• Gerontology Nurse Practitioner in Plantation, FL
• Providers in Plantation, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.