Individual provider Active NPI

John R Ayres, MD

  • Orthopaedic Surgery Physician
  • Bradenton, FL
National Provider Identifier
1831165281
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME 47478 Issued in FL
Practice address
2105 Manatee Ave E
Bradenton, FL 34208-1640
Phone
(941) 803-8395
Fax
(941) 803-8158
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME 47478 FL Primary

Addresses

Primary practice location

2105 Manatee Ave E
Bradenton, FL 34208-1640

Mailing address

2105 Manatee Ave E
Bradenton, FL 34208-1640
Phone (941) 803-8395

Other practice location 1

2105 Manatee Ave E
Bradenton, FL 34208-1640
Phone (941) 803-8395

Other identifiers 2

IdentifierTypeStateIssuer
09888OtherFLBCBS OF FL
200009398OtherFLRAILROAD MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100416000512 FL Practitioner - Orthopedic Surgery 3577659523 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 47478FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vigafra PLLC CurrentSince Feb 1, 2018 Accepting new patients
Coastal Orthopedics & Sports Medicine of Southwest FL, PA Orthopaedic Surgery Past Accepting new patients

Locations

2105 Manatee Ave E
Bradenton, FL 34208
Phone (941) 745-7394

200 3rd Ave W
Ste 170
Bradenton, FL 34205
Phone (941) 782-5434

8340 Lakewood Ranch Blvd
Ste 300
Lakewood Ranch, FL 34202
Phone (941) 316-8200

115 W Bay St
Wauchula, FL 33873
Phone (863) 773-3785

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831165281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081640",
            "telephone_number": "941-803-8395",
            "fax_number": "941-803-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081640",
            "telephone_number": "941-803-8395",
            "fax_number": "941-803-8158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 Manatee Ave E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342081640",
            "country_code": "US",
            "telephone_number": "941-803-8395",
            "fax_number": "941-803-8158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYRES",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME 47478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "09888",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200009398",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.