Active NPI
Jerome Edward Daniel, DO
- Emergency Medicine Physician
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS17766
- Practice address
- 200 SE Hospital Ave
Stuart, FL 34994-2346 - Phone
- (772) 287-5200
- NPI assigned
- Apr 7, 2017
- Last updated
- Jun 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | OS17766 | FL | Primary |
Addresses
Primary practice location
200 SE Hospital Ave
Stuart, FL 34994-2346
Mailing address
12836 Woodmill Dr
Palm Beach Gardens, FL 33418-8943
Phone (541) 913-9105
Other practice location 1
1800 SE Tiffany Ave
Port St Lucie, FL 34952-7521
Phone (541) 913-9105
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Sehospital Ave
Stuart, FL 34994
Phone (772) 287-5200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS17766 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Single Specialty | Current | Accepting new patients |
| Paragon Contracting Services LLC | Single Specialty | Current | Accepting new patients |
| Paragon Emergency Services LLC | Single Specialty | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
FL, Single Specialty
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
Single Specialty
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
Single Specialty
-
- Emergency Medicine Physician
- Wellington, FL
- NPI 1922788959
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida St. Lucie Hospital
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1699208470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12836 WOODMILL DR",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334188943",
"telephone_number": "541-913-9105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SE HOSPITAL AVE",
"city": "STUART",
"state": "FL",
"postal_code": "349942346",
"telephone_number": "772-287-5200"
}
],
"practiceLocations": [
{
"address_1": "1800 SE Tiffany Ave",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349527521",
"country_code": "US",
"telephone_number": "541-913-9105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIEL",
"first_name": "JEROME",
"middle_name": "EDWARD",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-07",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS17766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.
- 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.