Active NPI
Jonathan Etter, M.D.
- Ophthalmology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME 103881
- Practice address
- 900 NW 17TH St
Miami, FL 33136-1119 - Phone
- (305) 750-0756
- NPI assigned
- May 9, 2008
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME 103881 | FL | Primary |
Addresses
Primary practice location
900 NW 17TH St
Miami, FL 33136-1119
Mailing address
3660 Waialae Ave
Suite 304
Honolulu, HI 96816-3257
Phone (808) 735-1935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Pine Heights Ave
Suite 101
Baltimore, MD 21229-5266
Phone (410) 644-9515
11055 Little Patuxent Pkwy
Suite 105
Columbia, MD 21044-2908
Phone (410) 964-8285
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.65 of 100
- Quality
- 97.3
- Improvement activities
- 40
- Cost
- 45.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 394 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 103881 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Physicians Eye Care Center LLC | Ophthalmology | Current | Accepting new patients |
| Cornea & Refractive Surgery Consultants of the Pacific, Inc. | Ophthalmology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1001 Pine Heights Ave
Baltimore, MD 21229
Phone (410) 644-9515
1001 Pine Heights Ave
Ste 100
Baltimore, MD 21229
Phone (410) 644-0929
2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632
1001 Pine Heights Ave
Ste 101
Baltimore, MD 21229
Phone (410) 644-9515
11055 Little Patuxent Pkwy
Ste 105
Columbia, MD 21044
Phone (410) 686-3000
2400 Longstone Ln
Ste 206
Marriottsville, MD 21104
Phone (410) 480-9966
Interoperability endpoints
- jetter@physicianseyecare.intellechartdirect.net
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Baltimore, MD
- NPI 1780800359
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
-
- Ophthalmology Physician
- Honolulu, HI
- NPI 1952577975
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278288000000",
"number": "1508033432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 WAIALAE AVE",
"address_2": "SUITE 304",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968163257",
"telephone_number": "808-735-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NW 17TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361119",
"telephone_number": "305-750-0756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETTER",
"first_name": "JONATHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2010-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME 103881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.