Active NPI
Emily J Ernst, DPM
- Foot & Ankle Surgery Podiatrist
- Fleming Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3484
- Practice address
- 1677 Eagle Harbor Pkwy
Suite C
Fleming Island, FL 32003-4802 - Phone
- (904) 278-5112
- Fax
- (904) 278-5874
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3484 | FL | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006047 | PA |
Addresses
Primary practice location
1677 Eagle Harbor Pkwy
Suite C
Fleming Island, FL 32003-4802
Mailing address
1677 Eagle Harbor Pkwy
Suite C
Fleming Island, FL 32003-4802
Phone (904) 278-5112
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1677 Eagle Harbor Pkwy
Suite C
Fleming Island, FL 32003-4845
Phone (904) 278-5112
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 59 |
| Removal of skin lesions | 125 |
| Removal of nail tissue | 399 |
| Removal or shaving of skin growth | 112 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC006047 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J&E Jackson Enterprises, PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Janet L Black D P M P a | Past | Accepting new patients | |
| Yhn 1, LLC | Past | Accepting new patients |
Locations
1677 Eagle Harbor Pkwy
Ste C
Orange Park, FL 32003
Phone (904) 278-5112
17 Old Kings Rd N
Ste D
Palm Coast, FL 32137
Phone (386) 445-4345
Interoperability endpoints
- eernst743521@direct.shands.ufl.edu
Organizations & group practices 3
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.
-
- Podiatric Clinic/Center
- Fleming Island, FL
- NPI 1346625522
Foot & Ankle Surgery
-
- Primary Podiatric Medicine Podiatrist
- Mount Dora, FL
- NPI 1891844270
-
dba Mount Dora Podiatry & Wound Care Specialists
- Podiatrist
- Mount Dora, FL
- NPI 1174212625
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1407019839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1677 EAGLE HARBOR PKWY",
"address_2": "SUITE C",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034802",
"telephone_number": "904-278-5112",
"fax_number": "904-278-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1677 EAGLE HARBOR PKWY",
"address_2": "SUITE C",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034802",
"telephone_number": "904-278-5112",
"fax_number": "904-278-5874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNST",
"first_name": "EMILY",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3484",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006047",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fleming Island, FL
- Firas El Sabbagh, MD
- Elite Stairs ,Rails, & Trimwork Inc (Assist Therapy)
- Emdr Trauma Therapy Center LLC
- Emergency Physicians Inc (Emergency Resources Group)
- Victor Erminy, DDS
- Corina Jovita Rodriguez Espejo, M.S. CCC-SLP
- Ibrahim Fahdi, MD
- Family Care Partners of Northeast Florida LLC
- Lori Featheringill, LMHC
- Robert Zachary Ferdman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.