Active NPI
Jason A Ravanzo, DO
- Emergency Medicine Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS8319
- Practice address
- 300 SE Hospital Ave
Stuart, FL 34994-2338 - Phone
- (772) 223-5945
- NPI assigned
- May 19, 2006
- Last updated
- Feb 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS8319 | FL | Primary |
Addresses
Primary practice location
300 SE Hospital Ave
Stuart, FL 34994-2338
Mailing address
367 S. Gulph Rd
Attn: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (561) 333-4000
Other practice location 1
3319 S State Road 7 Ste 102
Wellington, FL 33449-8099
Phone (561) 333-4000
Other practice location 2
13421 S Shore Blvd Ste 101
Wellington, FL 33414-7210
Phone (561) 440-1616
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 S Kanner Hwy
FL 1
Stuart, FL 34994
Phone (772) 223-4999
6515 S Kanner Hwy
Stuart, FL 34997-6330
Phone (772) 463-1123
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Mecnb, LLC | Current | Accepting new patients | |
| Mecnb, LLC | Current | Accepting new patients | |
| Mecnb, LLC | Current | Accepting new patients | |
| Turtle Run Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Tenet-Solantic Joint Venture LLC | Past | Accepting new patients | |
| Sailfish ER SVCS Partnership LLC | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
| Bethesda/Solantic Joint Venture, LLC | Past | Accepting new patients | |
| Hillmoor ER SVCS Partnership | Emergency Medicine | Past | Accepting new patients |
Locations
11600 SE Federal Hwy
Hobe Sound, FL 33455
Phone (772) 223-4940
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
1095 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 785-5500
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
3801 S Kanner Hwy
Fl 1
Stuart, FL 34994
Phone (772) 223-2832
6515 S Kanner Hwy
Stuart, FL 34997
Phone (772) 463-1123
225 S US Highway 1
Tequesta, FL 33469
Phone (561) 747-4464
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 11
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.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1730329038
-
- Emergency Medicine Physician
- Punta Gorda, FL
- NPI 1376592063
-
- Emergency Medicine Physician
- Port St Lucie, FL
- NPI 1962451930
-
- Emergency Medicine Physician
- Stuart, FL
- NPI 1326096645
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1104159755
-
- Emergency Medicine Physician
- Port St Lucie, FL
- NPI 1053546465
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1356394399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 S. GULPH RD",
"address_2": "ATTN: IPM CREDENTIALING",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063121",
"telephone_number": "561-333-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SE HOSPITAL AVE",
"city": "STUART",
"state": "FL",
"postal_code": "349942338",
"telephone_number": "772-223-5945"
}
],
"practiceLocations": [
{
"address_1": "3319 S State Road 7 Ste 102",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "FL",
"postal_code": "334498099",
"country_code": "US",
"telephone_number": "561-333-4000",
"fax_number": "561-333-8851",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13421 S Shore Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "FL",
"postal_code": "334147210",
"country_code": "US",
"telephone_number": "561-440-1616",
"fax_number": "561-440-2030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAVANZO",
"first_name": "JASON",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS8319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.