Frederick Jason McNew, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102191 Issued in FL

Practice address

922 E Call St
Starke, FL 32091-3616

Phone

(904) 368-2300

Fax

(904) 368-2306

NPI assigned

Apr 12, 2006

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment
• FL-I Medical Services, LLC

  • Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1750655106
  Medicare reassignment
• FL-I Medical Services LLC

  • Physician Assistant
  • Haines City, FL
  • NPI 1285356790
  NPD
• FL-I Medical Services LLC

  • Emergency Medicine Physician
  • Bradenton, FL
  • NPI 1386053767

  Physician Assistant

  NPD
• Ipn Emergency Physicians of North Florida PA

  • Emergency Medicine Physician
  • Starke, FL
  • NPI 1619287158

  Physician Assistant

  NPD (past)
• Professional Gastroenterology & Nutrition Associates, P.a.

  • Gastroenterology Physician
  • Leesburg, FL
  • NPI 1215974498
  NPD (past)
• Tri County Professional Management, Inc

  • Gastroenterology Physician
  • Leesburg, FL
  • NPI 1649673872
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1528021250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 E CALL ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913616",
            "telephone_number": "904-368-2300",
            "fax_number": "904-368-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEW",
        "first_name": "FREDERICK",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102191",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291787400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Benjamine McBride, M.D.
• Brittany McCall, PTA
• Shannon Cason McCoy, M.A., CCC-SLP
• Linda Pauline McElwain, R.N.
• Patrick McMillin
• Meridian Behavioral Healthcare
• Meridian Behavioral Healthcare, Inc.
• Michael Schlofman O.D P.L.L.C.
• Sandra J Milner, ARNP
• Florrie Bell Mingo

• Physician Assistant in Starke, FL
• Providers in Starke, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.