Individual provider Active NPI

Laura Alexandra Ramos-Heckman, PA-C

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1760099071
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9113571 Issued in FL
Practice address
2014 Capistrano Dr
Jacksonville, FL 32224-3091
Phone
(727) 364-8390
NPI assigned
Sep 30, 2020
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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 9113571 FL Primary

Addresses

Primary practice location

2014 Capistrano Dr
Jacksonville, FL 32224-3091

Mailing address

2014 Capistrano Dr
Jacksonville, FL 32224-3091
Phone (727) 364-8390

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
I20210916002181 FL Practitioner - Physician Assistant 8022415181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Dermatology and Cosmetic Surgery P aGroup PAC ID 7517851215, 25 clinicians

Practice addresses (Care Compare)

1130 Commercial Way
Spring Hill, FL 34606-4518
Phone (352) 688-5544

125 4TH Ave NE
St Petersburg, FL 33701-3401
Phone (727) 585-8591

13100 Park Blvd
Seminole, FL 33776-3539
Phone (727) 585-8591

2525 S Pasadena Ave
St Petersburg, FL 33707-4566
Phone (727) 585-8591

34941 US Hwy 19 N
Palm Harbor, FL 34684-1919
Phone (727) 781-7080

7500 Gulf Blvd
Suite B
St Pete Beach, FL 33706-1813
Phone (727) 363-6688

8220 US 19
Port Richey, FL 34668-6639
Phone (727) 841-8505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9113571FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc CurrentSince Oct 4, 2021 Accepting new patients
Leavitt Medical Associates of Florida Inc CurrentSince Oct 4, 2021 Accepting new patients
Leavitt Medical Associates of Florida Inc Past Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

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.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1760099071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 CAPISTRANO DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243091",
            "telephone_number": "727-364-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 CAPISTRANO DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243091",
            "telephone_number": "727-364-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS-HECKMAN",
        "first_name": "LAURA",
        "middle_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9113571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.