Individual provider Active NPI

John Ernest Stimler, D.O.

  • Emergency Medicine Physician
  • Atlantic Beach, FL
National Provider Identifier
1376517490
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS3639 Issued in FL
Practice address
2279 Seminole Rd
#5
Atlantic Beach, FL 32233-5982
Phone
(904) 241-5216
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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 OS3639 FL Primary

Addresses

Primary practice location

2279 Seminole Rd
#5
Atlantic Beach, FL 32233-5982

Mailing address

2279 Seminole Rd.
#5
Atlantic Beach, FL 32233
Phone (904) 241-5216

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
I20040712001152 FL Practitioner - Emergency Medicine 4981682382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians

Practice addresses (Care Compare)

655 W 8TH St
Jacksonville, FL 32231-6511
Phone (904) 244-6340

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Emergency Medicine CurrentSince Apr 15, 1997 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Apr 15, 1997 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
St Luke'S Emergency Care Group LLC Emergency Medicine Past Accepting new patients
Cobblestone Emergency Physicians Emergency Medicine Past Accepting new patients
Emergency Physicians Inc Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Belfort Emergency Physicians Emergency Medicine Past Accepting new patients
Emergency Physicians of St. Johns County Emergency Medicine Past Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

Interoperability endpoints

  • Direct secure messaging: jstimler62269@direct.shands.ufl.edu

Organizations & group practices 9

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1376517490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 SEMINOLE RD.",
            "address_2": "#5",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "32233",
            "telephone_number": "904-241-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 SEMINOLE RD",
            "address_2": "#5",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322335982",
            "telephone_number": "904-241-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIMLER",
        "first_name": "JOHN",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS3639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Beach, FL

Sources for this page

Verify at the official NPI Registry.