Jorg A Bober, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3942 Issued in FL

Practice address

1409 Kingsley Ave
Suite 9-G
Orange Park, FL 32073-4537

Phone

(904) 637-0037

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 6

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

University of Iowa, RJ & L Carver College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Coast Podiatric Surgery and Wound Care LLCGroup PAC ID 1355467721, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Welcome Homecare Home health agency, Jacksonville, FL, CCN 107436
• HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
• Ascension St Vincent'S Clay County Hospital, Middleburg, FL, CCN 100321
• Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2841d-FUNyRbAEZPU2fkwLVgAHCA3S2l/

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.

• First Coast Podiatric Surgery and Wound Care LLC

  • Foot & Ankle Surgery Podiatrist
  • Orange Park, FL
  • NPI 1457665663

  Sports Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• First Coast Podiatric Surgery and Wound Care LLC

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1417264722
  NPD Authorized official
• North Florida Amputation Prevention Center, LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Orange Park, FL
  • NPI 1558677351
  NPD Authorized official
• First Coast Infectious Disease Consultants LLC

  • Infectious Disease Physician
  • Jacksonville, FL
  • NPI 1740477843
  NPD (past)
• Surgcenter of Orange Park, LLC

  • Ambulatory Surgical Clinic/Center
  • Orange Park, FL
  • NPI 1821342858
  NPD (past)
• Georgia Infectious Disease Consultants

  • Infectious Disease Physician
  • Waycross, GA
  • NPI 1902374911
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Health Care Management Consulting, Inc.

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1568467967
  Care Compare affiliation
• Orange Park Medical Center, Inc.

  • General Acute Care Hospital
  • Orange Park, FL
  • NPI 1689611501
  Care Compare affiliation
• St Vincents Medical Center Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1134117575
  Care Compare affiliation
• St. Vincent'S Medical Center-Clay County, Inc.

  • General Acute Care Hospital
  • Middleburg, FL
  • NPI 1457690471
  Care Compare affiliation
• St. Vincent'S Medical Center, Inc.

  • Clinical Medical Laboratory
  • Jacksonville, FL
  • NPI 1669556072

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1720108012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1653",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320671653",
            "telephone_number": "904-422-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE",
            "address_2": "SUITE 9-G",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734537",
            "telephone_number": "904-637-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBER",
        "first_name": "JORG",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3942",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "FL",
            "license": "PO3294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6605219",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002908200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65967",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "6605219",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE LICENSE",
            "identifier": "PO3294",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7923937",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bob Hutchinson PA
• Bob McQueen, LMHC
• Alison Lynn Boden, PA-C
• Bodywerks LLC
• Boetheia Infusion & Healthcare, LLC
• Boger Enterprises Inc
• Patricia Ann Boger, PH.D.

• Foot & Ankle Surgery Podiatrist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.

Verify at the official NPI Registry.