Active NPI
Ebonique Maeweathers, P.A.
- Physician Assistant
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9100975
- Practice address
- 9500 Satellite Blvd
Orlando, FL 32837-8464 - Phone
- (407) 859-5656
- Fax
- (407) 859-2124
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9100975 | FL | Primary |
Addresses
Primary practice location
9500 Satellite Blvd
Orlando, FL 32837-8464
Mailing address
1109 SW 10TH St
Ocala, FL 34474-2725
Phone (352) 629-3455
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190125001491 | FL | Practitioner - Physician Assistant | 4385981570 | 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
- American Current Care PA
Practice addresses (Care Compare)
1036 Dunn Ave
Suite 10
Jacksonville, FL 32218-6364
Phone (904) 903-5520
12421 S Orange Blossom TRL
Orlando, FL 32837-6508
Phone (904) 791-6213
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9100975 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care PA | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| U.S. Healthworks Medical Group of Florida, Inc. | Past | Accepting new patients |
Locations
1036 Dunn Ave
Ste 10
Jacksonville, FL 32218
Phone (904) 903-5520
7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174
1109 SW 10th St
Ocala, FL 34471
Phone (352) 629-3433
4455 Medical Center Way
West Palm Beach, FL 33407
Phone (561) 881-0066
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 26
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.
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1003090879
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1013194455
-
- Urgent Care Clinic/Center
- South Portland, ME
- NPI 1053680876
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1184805574
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1235313156
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1275714677
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1326222191
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1386962587
-
- Urgent Care Clinic/Center
- Racine, WI
- NPI 1477730356
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1477734861
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1568646487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861545014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 SW 10TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344742725",
"telephone_number": "352-629-3455",
"fax_number": "352-629-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 SATELLITE BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328378464",
"telephone_number": "407-859-5656",
"fax_number": "407-859-2124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAEWEATHERS",
"first_name": "EBONIQUE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9100975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.