Jesse A Caron, MD
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Orlando, FL
NPI 1346368024 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346368024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- PENDING (FL)
- Practice address
- 601 E Rollins St
Orlando, FL 32803-1248 - Phone
- (407) 303-5600
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Boston University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Emergency Physicians Kang and Associates MD LLC
Practice addresses (Care Compare)
1909 E Hwy 50
Clermont, FL 34711-1921
Phone (352) 717-3800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080123000120 | FL | Practitioner - Emergency Medicine | 8527149095 | Reassigns benefits to 1 organization |
| I20241213003247 | NC | Practitioner - Emergency Medicine | 8527149095 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Emergency Physicians Kang and Associates MD LLC | Emergency Medical Services | Current |
Accepting new patients |
| Emergency Coverage, LLC | Current |
Accepting new patients | |
| Observation Medicine Specialists LLC | Past | Accepting new patients |
Locations
1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | PENDING | FL | Yes |
Addresses
Primary practice location
601 E Rollins St
Orlando, FL 32803-1248
Mailing address
500 Winderley PL
Suite 115
Maitland, FL 32751-7247
Phone (407) 875-0555
Other providers in Orlando, FL
- Vivian Caro
- Carol a Stewart MD P.a
- Carol Grant MD LLC
- Debra L Caroli
- Carolyn T. Nguyen, DMD, PA
- Jesse Pittard Caron
- Kimberly Caron
- Raymond Francis Caron
- Carrie Leigh Carpenter
- Cheryl Denise Carpenter
All providers in Orlando, FL · Emergency Medical Services (Emergency Medicine) Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.