Stephanie Ortman, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME117974 Issued in FL

Practice address

3200 3Rd St S Ste 200
Jacksonville Beach, FL 32250

Phone

(904) 249-6110

Fax

(904) 249-6119

NPI assigned

May 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Creighton University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tricia R Andrews M D PLGroup PAC ID 9830289818, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tricia R Andrews M D PL

  • Dermatology Physician
  • Jacksonville, FL
  • NPI 1891839445
  Medicare reassignment Care Compare group NPD
• First Coast Dermatology and Internal Medicine P a

  • Dermatology Physician
  • Jacksonville Beach, FL
  • NPI 1518089846
  NPD

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1053679647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 3RD ST S STE 200",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506097",
            "telephone_number": "904-249-6110",
            "fax_number": "904-249-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 3RD ST S STE 200",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-249-6110",
            "fax_number": "904-249-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTMAN",
        "first_name": "STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME117974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optopia Inc.
• Joseph P Orallo, APRN
• Andrew A Orpiano, ATC
• Ortho Home Health Care, LLC
• Erik Javier Ortiz
• Mohana Oshea
• Richard S Oxhorn, PH.D.
• P a T H Health Center Inc
• Paula Page, ARNP
• Cristina Marie Palleschi Winkler

• Dermatology Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.