Individual provider Active NPI

Jason A Ravanzo, DO

  • Emergency Medicine Physician
  • Stuart, FL
National Provider Identifier
1356394399
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS8319 Issued in FL
Practice address
300 SE Hospital Ave
Stuart, FL 34994-2338
Phone
(772) 223-5945
NPI assigned
May 19, 2006
Last updated
Feb 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510000329 FL Practitioner - Emergency Medicine 6002805603 Reassigns benefits to 3 organizations

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
Mecnb LLCGroup PAC ID 7911959341, 28 clinicians

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 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Jan 18, 2025 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Mecnb, LLC Current Accepting new patients
Mecnb, LLC CurrentSince Mar 3, 2019 Accepting new patients
Mecnb, LLC CurrentSince Mar 3, 2019 Accepting new patients
Turtle Run Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Tenet-Solantic Joint Venture LLC PastSince Nov 22, 2010 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 PastSince Jul 2, 2009 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.