Individual provider Active NPI

Erin C. Sloan, PA

  • Physician Assistant
  • New Smyrna Beach, FL
National Provider Identifier
1730128448
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101118 Issued in FL
Practice address
1860 Renzulli Road
New Smyrna Beach, FL 32168-1726
Phone
(386) 663-3064
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101118 FL Primary

Addresses

Primary practice location

1860 Renzulli Road
New Smyrna Beach, FL 32168-1726

Mailing address

1860 Renzulli Road
New Smyrna Beach, FL 32168-1726
Phone (386) 663-3064

Other identifiers 1

IdentifierTypeStateIssuer
291884600MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714000242 FL Practitioner - Physician Assistant 1052390168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Smyrna Beach Urgent Care, LLCGroup PAC ID 8426184128, 10 clinicians

Practice addresses (Care Compare)

126 S Nova Rd
Ormond Beach, FL 32174-6115
Phone (386) 663-3061

1860 Renzulli Rd
New Smyrna BCH, FL 32168-1726
Phone (386) 663-3061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101118FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Em-I Medical Services PA Physician Assistant CurrentSince Sep 1, 2003 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1730128448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 RENZULLI ROAD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321681726",
            "telephone_number": "386-663-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 RENZULLI ROAD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321681726",
            "telephone_number": "386-663-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "ERIN",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291884600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.