Jeffrey Stanton Demercurio, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME101551 Issued in FL

Practice address

311 N Clyde Morris Blvd Ste 500
Halifax Health Medical Center
Daytona Beach, FL 32114-2768

Phone

(386) 258-3223

Fax

(386) 947-9004

NPI assigned

Jan 24, 2007

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

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

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

Wayne State University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Ocean Dermatology LLCGroup PAC ID 3779729603, 14 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffd@blueoceanderm.emadirect.md

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.

• Blue Ocean Dermatology LLC

  • Dermatology Physician
  • Port Orange, FL
  • NPI 1992045272
  Medicare reassignment Care Compare group NPD
• Halifax Healthcare Systems Inc

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530
  Medicare reassignment NPD
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • Palm Coast, FL
  • NPI 1164309605
  NPD (past)
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • New Smyrna Beach, FL
  • NPI 1184501611
  NPD (past)
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • Daytona Beach, FL
  • NPI 1689551129
  NPD (past)
• Dermatology on the Spot, LLC

  • Dermatology Physician
  • Port Orange, FL
  • NPI 1487058533
  NPD (past)
• Lawnwood Healthcare Specialists LLC

  • Neurological Surgery Physician
  • Fort Pierce, FL
  • NPI 1649437765
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1174678908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 HAND AVE STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741136",
            "telephone_number": "386-317-0444",
            "fax_number": "386-947-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N CLYDE MORRIS BLVD STE 500",
            "address_2": "HALIFAX HEALTH MEDICAL CENTER",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142768",
            "telephone_number": "386-258-3223",
            "fax_number": "386-947-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERCURIO",
        "first_name": "JEFFREY",
        "middle_name": "STANTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME101551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Delcampo
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• Delta Health Group Inc
• Matthew Deluca
• Delwin L Pitzer PSWD PA
• Suzanne M. Demming, M.D.
• Tamera Alexis Demps
• Kelly Elizabeth Demuynck, PA
• Kirk Andrew Denning, OTR/L
• Dental Creations of Daytona Beach

• Plastic Surgery Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.
• 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.