Active NPI
Vladimir Yefremov, PAC
- Physician Assistant
- New Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103553
- Practice address
- 5637 Marine Pkwy
New Port Richey, FL 34652-4316 - Phone
- (727) 845-9115
- Fax
- (727) 834-5619
- NPI assigned
- Jul 30, 2006
- Last updated
- Jun 18, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103553 | NC | Primary |
| Physician Assistant | 363A00000X | PA9103394 | FL |
Addresses
Primary practice location
5637 Marine Pkwy
New Port Richey, FL 34652-4316
Mailing address
2832 Ravendale LN
Holiday, FL 34691-7837
Phone (727) 934-4195
Other practice location 1
825 Spartanburg Hwy Ste 17
Hendersonville, NC 28792-4770
Phone (828) 233-1664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 Hendersonville Rd
Asheville, NC 28803-2680
Phone (828) 210-2835
511 Smokey Park Hwy
Candler, NC 28715-8613
Phone (828) 365-1088
7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900
825 Spartanburg Hwy
Suite 17
Hendersonville, NC 28792-4770
Phone (828) 233-1664
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.09 of 100
- Quality
- 65.78
- Improvement activities
- 40
- Cost
- 76.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9103394 | FL | MD | Physician Assistant |
| 103553 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Mountain Emergency Medicine PA | Current | Accepting new patients | |
| Franklin Regional Emergency Physicians PLLC | Current | Accepting new patients | |
| Emergency Coverage Services, PC | Physician Assistant | Past | Accepting new patients |
| Osprey Emergency Physicians LLC | Past | Accepting new patients | |
| Quality Drive Emergency Physicians LLC | Past | Accepting new patients | |
| Sabal Palm Emergency Physicians | Past | Accepting new patients | |
| Clyde Emergency Solutions LLC | Past | Accepting new patients | |
| Pasco Emergency Physicians LLC | Past | Accepting new patients | |
| Florida Em-I Medical Services PA | Past | Accepting new patients | |
| Fastmed Primary Care, P.C. | Past | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125
509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Durham, NC
- NPI 1629841788
-
- Emergency Medicine Physician
- Asheboro, NC
- NPI 1689779720
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
NC
-
dba Pardee Urgent Care Four Seasons
- Urgent Care Clinic/Center
- Hendersonville, NC
- NPI 1518971910
-
- Emergency Medicine Physician
- Kernersville, NC
- NPI 1750852034
-
- Emergency Medicine Physician
- Murphy, NC
- NPI 1053808378
-
- Emergency Medicine Physician
- Thomasville, NC
- NPI 1295206464
-
- Emergency Medicine Physician
- Sylva, NC
- NPI 1669808143
-
- Emergency Medicine Physician
- Clemmons, NC
- NPI 1093286379
-
- Emergency Medicine Physician
- Marion, NC
- NPI 1427374578
-
- Emergency Medicine Physician
- Louisburg, NC
- NPI 1942530530
-
- Emergency Medicine Physician
- Lakeland, FL
- NPI 1871542720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1649285230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2832 RAVENDALE LN",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "346917837",
"telephone_number": "727-934-4195",
"fax_number": "727-507-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5637 MARINE PKWY",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346524316",
"telephone_number": "727-845-9115",
"fax_number": "727-834-5619"
}
],
"practiceLocations": [
{
"address_1": "825 Spartanburg Hwy Ste 17",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "NC",
"postal_code": "287924770",
"country_code": "US",
"telephone_number": "828-233-1664",
"fax_number": "828-696-4047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEFREMOV",
"first_name": "VLADIMIR",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103553",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103394",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.