Individual provider Active NPI

Eric Stanton Runyon, DO

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1225095268
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS8317 Issued in FL
Practice address
11760 SW 40TH St Ste 654
Miami, FL 33175-8103
Phone
(786) 615-6123
Fax
(786) 615-6103
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS8317 FL Primary

Addresses

Primary practice location

11760 SW 40TH St Ste 654
Miami, FL 33175-8103

Mailing address

8501 SW 124 Avenue
Suite 211
Miami, FL 33183-4627
Phone (305) 595-6488

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617000692 FL Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 9537143359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

11760 SW 40TH St
Suite 654
Miami, FL 33175-8103
Phone (305) 228-5432

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Dec 1, 2011 Accepting new patients
Womencare PA Past Accepting new patients
Pavilion for Women'S Care LLC Obstetrics & Gynecology Past Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

21110 Biscayne Blvd
Ste 312
Miami, FL 33180
Phone (305) 933-3030

8501 SW 124th Ave
Ste 211
Miami, FL 33183
Phone (305) 595-6488

606 W Flagler St
Miami, FL 33130
Phone (305) 545-9292

11760 SW 40th St
Ste 654
Miami, FL 33175
Phone (305) 559-9696

Interoperability endpoints

  • Direct secure messaging: eric.runyon.1@2183.direct.athenahealth.com
  • Direct secure messaging: wgherunyo@yourcarecommunity.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1225095268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 SW 124 AVENUE",
            "address_2": "SUITE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834627",
            "telephone_number": "305-595-6488",
            "fax_number": "305-595-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 654",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758103",
            "telephone_number": "786-615-6123",
            "fax_number": "786-615-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYON",
        "first_name": "ERIC",
        "middle_name": "STANTON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS8317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.