Ian Alexander Neuhaus, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2650 Issued in SC

Practice address

10870 US One N Unit 104
Ponte Vedra, FL 32081-7804

Phone

(904) 438-2720

NPI assigned

Jan 13, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, FL2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Cure LLCGroup PAC ID 3274877329, 11 clinicians

Jacksonville Carenow Urgent Care LLCGroup PAC ID 6800158544, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ineuhaus1236029@direct.bsmhealth.org

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.

• Jacksonville Carenow Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Jacksonville, FL
  • NPI 1447771670
  Medicare reassignment Care Compare group NPD
• Urgent Care Cure LLC

  • Urgent Care Clinic/Center
  • Ponte Vedra, FL
  • NPI 1881182335
  Medicare reassignment Care Compare group
• Roper Saint Francis Physicians Network

  • Surgery Physician
  • Charleston, SC
  • NPI 1124431606
  Medicare reassignment
• Avecina Medical, PA

  • Urgent Care Clinic/Center
  • Jacksonville, FL
  • NPI 1578236394
  NPD
• Avecina Medical, PA

  • Urgent Care Clinic/Center
  • Yulee, FL
  • NPI 1962200717
  NPD
• Urgent Care Cure, LLC

  • Urgent Care Clinic/Center
  • Saint Augustine, FL
  • NPI 1205608569
  NPD
• Roper Saint Francis Physicians Network

  • Obstetrics & Gynecology Physician
  • Charleston, SC
  • NPI 1811857352
  NPD
• Roper Saint Francis Physicians Network

  • Pain Medicine (Anesthesiology) Physician
  • Mt Pleasant, SC
  • NPI 1992047765
  NPD
• Avecina Medical PA

  • Urgent Care Clinic/Center
  • Jacksonville, FL
  • NPI 1215082003
  NPD (past)

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1114463288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-789-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10870 US ONE N UNIT 104",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320817804",
            "telephone_number": "904-438-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUHAUS",
        "first_name": "IAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-13",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2857PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christopher Nguyen

• Physician Assistant in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Physician Assistant in Florida

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