Active NPI
Ryan C Amason, PAC
- Physician Assistant
- Jacksonville, FL
National Provider Identifier
1659681666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9105739
- Practice address
- 1325 San Marco Blvd Ste 200
Jacksonville, FL 32207-8566 - Phone
- (904) 346-3465
- Fax
- (904) 396-0388
- NPI assigned
- Oct 12, 2010
- Last updated
- Mar 27, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9105739 | FL | Primary |
Addresses
Primary practice location
1325 San Marco Blvd Ste 200
Jacksonville, FL 32207-8566
Mailing address
1325 San Marco Blvd Ste 200
Jacksonville, FL 32207-8566
Phone (904) 346-3465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1659681666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 SAN MARCO BLVD STE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078566",
"telephone_number": "904-346-3465",
"fax_number": "904-858-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SAN MARCO BLVD STE 200",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078566",
"telephone_number": "904-346-3465",
"fax_number": "904-396-0388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMASON",
"first_name": "RYAN",
"middle_name": "C",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-12",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9105739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.