Active NPI
Edward Robert Todd, PA-C
- Surgical Physician Assistant
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA2900
- Practice address
- 1490 SE Magnolia Ave. Ext.
Ocala, FL 34471 - Phone
- (352) 671-4221
- Fax
- (352) 671-4393
- NPI assigned
- Apr 14, 2006
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA2900 | FL | Primary |
Addresses
Primary practice location
1490 SE Magnolia Ave. Ext.
Ocala, FL 34471
Mailing address
1490 SE Magnolia Ave. Ext.
Ocala, FL 34471
Phone (352) 671-4221
Other practice location 1
12880 Commodity Pl
c/o United Surgical Assistants, Inc.
Tampa, FL 33626-3101
Phone (877) 872-5788
Other practice location 2
4215 Edgewater Dr
Orlando, FL 32804-2206
Phone (407) 539-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E0967S | Other | FL | QSS SCS PTAN |
| 290164100 | Medicaid | FL |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 291-3000
1490 SE Magnolia Ext
Ocala, FL 34471-4443
Phone (352) 732-7400
1500 SE 1St Ave
Ocala, FL 34471-6504
Phone (352) 351-7200
202 Phillips PL
Orlando, FL 32806-1218
Phone (386) 274-7118
339 Brandywine Dr
Valrico, FL 33594-3205
Phone (352) 671-4300
4600 SW 46TH CT
Ocala, FL 34474-5708
Phone (352) 291-3400
488 NE 18TH St
Unit 2802
Miami, FL 33132-1306
Phone (386) 274-7118
9378 Orchid Cove Cir
Vero Beach, FL 32963-4110
Phone (352) 351-7200
Hospital & facility affiliations
- Marion Communtiy Hospital
- Adventhealth Ocala
- Tampa General Hospital Crystal River
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.68 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Clinical Services,Inc. | Surgical | Past | Accepting new patients |
| Medical Imaging Center of Ocala LLP | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Daytona Beach, FL
- NPI 1063400729
-
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1669469045
-
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1023318060
-
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1669460473
-
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1215602032
-
- Surgical Physician Assistant
- Orlando, FL
- NPI 1033162011
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1841237930
-
- General Acute Care Hospital
- Crystal River, FL
- NPI 1407637531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1477517647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 SE MAGNOLIA AVE. EXT.",
"city": "OCALA",
"state": "FL",
"postal_code": "34471",
"telephone_number": "352-671-4221",
"fax_number": "352-671-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 SE MAGNOLIA AVE. EXT.",
"city": "OCALA",
"state": "FL",
"postal_code": "34471",
"telephone_number": "352-671-4221",
"fax_number": "352-671-4393"
}
],
"practiceLocations": [
{
"address_1": "12880 Commodity Pl",
"address_2": "c/o United Surgical Assistants, Inc.",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336263101",
"country_code": "US",
"telephone_number": "877-872-5788",
"fax_number": "866-698-7272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4215 Edgewater Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328042206",
"country_code": "US",
"telephone_number": "407-539-2000",
"fax_number": "407-398-0050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TODD",
"first_name": "EDWARD",
"middle_name": "ROBERT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA2900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QSS SCS PTAN",
"identifier": "E0967S",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "290164100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.