Individual provider Active NPI

Jazmine Nicole Loman, DO

  • Family Medicine Physician
  • Tamarac, FL
National Provider Identifier
1548493844
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS17640 Issued in FL
Practice address
7900 N University Dr
Tamarac, FL 33321-2100
Phone
(954) 978-8326
NPI assigned
Sep 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Family Medicine Physician 207Q00000X OS17640 FL Primary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 7443 FL

Addresses

Primary practice location

7900 N University Dr
Tamarac, FL 33321-2100

Mailing address

7900 N University Dr
Tamarac, FL 33321-2100
Phone (954) 978-8326

Other practice location 1

4109 N Federal Hwy
Fort Lauderdale, FL 33308-5530
Phone (954) 563-2707

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701000588 FL Practitioner - Family Practice 2567863285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ballout International PLLCGroup PAC ID 5890045256, 48 clinicians

Practice addresses (Care Compare)

1931 19TH PL
Vero Beach, FL 32960-3555
Phone (321) 387-9451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7443FLMDFamily Medicine Physician
OS17640FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ballout International PLLC Single Specialty CurrentSince Oct 7, 2024 Accepting new patients

Locations (25 of 76)

3355 E Semoran Blvd
Apopka, FL 32703
Phone (407) 862-6263

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 394-6282

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

2302 59th St W
Bradenton, FL 34209
Phone (941) 792-8480

3918 S Kings Ave
Brandon, FL 33511
Phone (813) 661-1535

2055 Palmetto St
Clearwater, FL 33765
Phone (727) 461-6613

1100 N Pine St
Clearwater, FL 33756
Phone (727) 442-7106

1775 Hooks St
Clermont, FL 34711
Phone (352) 717-7980

37300 Royal Oak Ln
Dade City, FL 33525
Phone (352) 567-3122

37135 Coleman Ave
Dade City, FL 33525
Phone (352) 567-8615

5430 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3188

870 Patricia Ave
Dunedin, FL 34698
Phone (727) 734-8861

7173 Cypress Dr
Fort Myers, FL 33907
Phone (239) 936-0203

8041 State Road 52
Hudson, FL 34667
Phone (727) 862-9559

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

4405 Lakewood Rd
Lake Worth Beach, FL 33461
Phone (561) 630-9321

4240 Lakeland Highlands Rd
Lakeland, FL 33813
Phone (863) 607-5948

3370 NW 47th Ter
Lauderdale Lakes, FL 33319
Phone (954) 733-0655

101 E Florida Ave
Melbourne, FL 32901
Phone (321) 233-4028

2680 Croton Rd
Melbourne, FL 32935
Phone (321) 255-4783

3033 Sarno Rd
Melbourne, FL 32934
Phone (321) 243-8593

251 E Florida Ave
Melbourne, FL 32901
Phone (321) 725-3900

1420 Oak St
Melbourne, FL 32901
Phone (321) 326-2300

1100 S Courtenay Pkwy
Merritt Island, FL 32952
Phone (321) 269-4240

14601 NE 16th Ave
North Miami, FL 33161
Phone (305) 701-9699

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1548493844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212100",
            "telephone_number": "954-978-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212100",
            "telephone_number": "954-978-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4109 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333085530",
            "country_code": "US",
            "telephone_number": "954-563-2707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMAN",
        "first_name": "JAZMINE",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS17640",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "7443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.