Jeramy Don Mosburg, D.O.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

OS13429 Issued in FL

Practice address

430 Morton Plant Street
Suite 405
Clearwater, FL 33756-3394

Phone

(727) 443-0611

Fax

(727) 461-5493

NPI assigned

Oct 9, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Oklahoma State University College of Osteopathic Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Bay Area Chest Physicians P aGroup PAC ID 0941299010, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
• Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
• Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
• Baycare Alliant Hospital Long-term care hospital, Dunedin, FL, CCN 102021

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HEFFBA
• Direct secure messaging: jeramy.mosburg@bacp.eclinicaldirectplus.com

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.

• Bay Area Chest Physicians P a

  • Pulmonary Disease Physician
  • Clearwater, FL
  • NPI 1972584829

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD
• Baycare Medical Group, Inc.

  • General Practice Physician
  • Clearwater, FL
  • NPI 1043269871

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Baycare Medical Group Inc

  • Pulmonary Disease Physician
  • Clearwater, FL
  • NPI 1902477672
  NPD
• Baycare Medical Group, Inc.

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1659720837
  NPD

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

• Baycare Alliant Hospital Inc

  • Long Term Care Hospital
  • Dunedin, FL
  • NPI 1174716955

  Long-term care hospital

  Care Compare affiliation
• Morton Plant Hospital Association Inc

  dba Morton Plant Hospital

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation
• Trustees of Mease Hospital Inc

  dba Mease Countryside Hospital

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1265419907
  Care Compare affiliation
• Trustees of Mease Hospital Inc

  dba Mease Dunedin Hospital

  • General Acute Care Hospital
  • Dunedin, FL
  • NPI 1336125640
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417108291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT STREET",
            "address_2": "SUITE 405",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563394",
            "telephone_number": "727-443-0611",
            "fax_number": "727-461-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT STREET",
            "address_2": "SUITE 405",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563394",
            "telephone_number": "727-443-0611",
            "fax_number": "727-461-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBURG",
        "first_name": "JERAMY",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "OS13429",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "OS13429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406391",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morton Plant Hospital Association, Inc. (Morton Plant Hospital Psychatric Unit)
• Morton Plant Hospital Association, Inc. (Professional Billing MPH)
• Morton Plant Mease Health Services Inc (Boi Carlisle)
• Morton Plant Mease Health Services, Inc (Susan Cheek Needler Breast Center)
• Morton Plant Mease Hospital
• Nicole Moser
• James Moses, LCSW
• Samantha Moses
• Joanna Mosher
• Arian John Moshref, DO

• Pulmonary Disease Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.