Active NPI
Lawrence Edward Hoening, P.A.
- Medical Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9103141
- Practice address
- 5045 Soutel Dr Ste 12
Jacksonville, FL 32208-1885 - Phone
- (190) 446-8794
- Fax
- (904) 468-7944
- NPI assigned
- Jul 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA91031 | FL | |
| Medical Physician Assistant | 363AM0700X | PA9103141 | FL | Primary |
Addresses
Primary practice location
5045 Soutel Dr Ste 12
Jacksonville, FL 32208-1885
Mailing address
5045 Soutel Dr Ste 12
Jacksonville, FL 32208-1885
Phone (904) 446-8794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292818300 | Medicaid | FL |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA91031 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Florida, Inc | Current | Accepting new patients | |
| Overflow Health Alliance Inc | Past | Accepting new patients |
Locations
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
1200 Riverplace Blvd
Ste 620
Jacksonville, FL 32207
Phone (904) 396-6620
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
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.
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- Infectious Disease Physician
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- NPI 1063031524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1093731283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5045 SOUTEL DR STE 12",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322081885",
"telephone_number": "904-446-8794",
"fax_number": "904-396-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5045 SOUTEL DR STE 12",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322081885",
"telephone_number": "190-446-8794",
"fax_number": "904-468-7944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOENING",
"first_name": "LAWRENCE",
"middle_name": "EDWARD",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2023-02-23",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA91031",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9103141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292818300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.