Benjamin Edward Love, P.A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9110134 Issued in FL

Practice address

125 Patricia Ave
Dunedin, FL 34698-8100

Phone

(727) 331-8740

Fax

(727) 331-8744

NPI assigned

Feb 13, 2017

Last updated

Feb 13, 2017By the provider in NPPES

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBDACA/Endpoint/BBDACA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ama Medical Group LLC

  • Internal Medicine Physician
  • Dunedin, FL
  • NPI 1174834717
  Medicare reassignment
• Ama Medical Group LLC

  • Non-Pharmacy Dispensing Site
  • Dunedin, FL
  • NPI 1194431262
  NPD (past)
• Ama Medical Group LLC

  dba Ama Medical Group of Largo

  • Internal Medicine Physician
  • Largo, FL
  • NPI 1629704176
  NPD (past)
• Ama Network Partners LLC

  dba AMA Network Partners

  • Health Maintenance Organization
  • Dunedin, FL
  • NPI 1114807369
  NPD (past)

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1326587163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PATRICIA AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988100",
            "telephone_number": "727-331-8740",
            "fax_number": "727-331-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATRICIA AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988100",
            "telephone_number": "727-331-8740",
            "fax_number": "727-331-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "BENJAMIN",
        "middle_name": "EDWARD",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9110134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Londergan, PA-C
• Susana Londono, DPM, MBA
• Alexandra Lopez-Fulghum, M.S. CCC-SLP
• Norma Lopez-Molina, MD
• Maria Loulourgas, O.D.
• Vonda Marie Love, FNP-C
• Christina Lovera
• LS Medical LLC
• Kristina Lutz
• Geraldine Marguerite Luzincourt, ARNP

• Medical Physician Assistant in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.

Verify at the official NPI Registry.