Individual provider Active NPI

Ian Russell Rowe, M.D.

  • Emergency Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1912132010
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME112301 Issued in FL
Practice address
655 W. Eighth St.
Clinical Center, 1St Floor
Jacksonville, FL 32209
Phone
(904) 244-3837
Fax
(904) 244-4508
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X TRN13706 FL
Emergency Medicine Physician 207P00000X ME112301 FL Primary

Addresses

Primary practice location

655 W. Eighth St.
Clinical Center, 1St Floor
Jacksonville, FL 32209

Mailing address

655 W. Eighth St. Box C506
Clinical Center, 1St Floor
Jacksonville, FL 32209
Phone (904) 244-3837

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
I20120710000463 FL Practitioner - Emergency Medicine 5597920967 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Emergency Physicians Kang and Associates MD LLCGroup PAC ID 0143113878, 318 clinicians
Ridgewood Emergency Group, LLCGroup PAC ID 6305199597, 43 clinicians

Practice addresses (Care Compare)

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

6945 Cypress Gardens Blvd
Winter Haven, FL 33884-3572
Phone (863) 422-4971

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN13706FLMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Sep 3, 2024 Accepting new patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Sep 3, 2024 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jul 19, 2018 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients

Locations

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

6945 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (863) 419-2496

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1912132010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W. EIGHTH ST. BOX C506",
            "address_2": "CLINICAL CENTER, 1ST FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-244-3837",
            "fax_number": "904-244-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W. EIGHTH ST.",
            "address_2": "CLINICAL CENTER, 1ST FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-244-3837",
            "fax_number": "904-244-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "IAN",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "TRN13706",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME112301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.