Jared Vanderpohl, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

10489 N Florida Ave
Citrus Springs, FL 34434-3268

Phone

(352) 489-2486

NPI assigned

Jun 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, OH2 enrollments

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 2

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.

• West Florida Medical Associates P a

  • Internal Medicine Physician
  • Beverly Hills, FL
  • NPI 1265515001

  Physician Assistant

  Medicare reassignment NPD
• Comprehensive Rehab Consultants PLLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  OH

  Medicare reassignment NPD
• Nature Coast Geriatric Services LLC

  • Family Medicine Physician
  • Beverly Hills, FL
  • NPI 1417340654
  Medicare reassignment
• CG Medical Associates Inc

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1982903951
  Medicare reassignment
• West Florida Medical Associates, PA

  • Family Medicine Physician
  • Inverness, FL
  • NPI 1770724130

  Physician Assistant

  NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1619546561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 W SPRING MEADOW LOOP",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344617681",
            "telephone_number": "513-658-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10489 N FLORIDA AVE",
            "city": "CITRUS SPRINGS",
            "state": "FL",
            "postal_code": "344343268",
            "telephone_number": "352-489-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERPOHL",
        "first_name": "JARED",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suncoast Primary Care
• Sunshine Express Transport LLC
• Swift Prints, LLC
• Tara Philcox Limited Liability Company
• TLC Rehab, LLC
• Vanessa Verdo, IBCLC
• Alex Tan Villacastin, M.D.
• Alexander Tan Villacastin, ARNP
• Maria Juvy Villacastin, ARNP
• Sheila Malto Villacastin, ARNP

• Physician Assistant in Citrus Springs, FL
• Providers in Citrus Springs, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.