Individual provider Active NPI

Jennifer Seda Ramirez, M.D.

  • General Practice Physician
  • St Augustine, FL
National Provider Identifier
1912971102
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16176 Issued in PR
Practice address
1851 Old Moultrie Rd
Suite a
St Augustine, FL 32084-4168
Phone
(904) 824-8088
Fax
(904) 826-4105
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16176 PR Primary

Addresses

Primary practice location

1851 Old Moultrie Rd
Suite a
St Augustine, FL 32084-4168

Mailing address

1851 Old Moultrie Rd
Suite a
St Augustine, FL 32084-4168
Phone (904) 824-8088

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
I20161209000293 FL Practitioner - General Practice 9931123171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
James F Connor PAGroup PAC ID 3870563315, 4 clinicians

Practice addresses (Care Compare)

1851 Old Moultrie Rd a
Saint Augustine, FL 32084-4167
Phone (904) 824-8088

Hospital & facility affiliations

  • Absolute Care Home Health Services LLC Home health agency, Jacksonville, FL, CCN 109741
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce H Paley PA Current Accepting new patients
James F Connor PA CurrentSince Oct 17, 2016 Accepting new patients
Paul D Jayachandra M D P a PastSince Oct 17, 2016 Accepting new patients

Locations

1851 Old Moultrie Rd
Ste A
St Augustine, FL 32084
Phone (904) 824-7476

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHJBA

Organizations & group practices 3

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1912971102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 OLD MOULTRIE RD",
            "address_2": "SUITE A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844168",
            "telephone_number": "904-824-8088",
            "fax_number": "904-826-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 OLD MOULTRIE RD",
            "address_2": "SUITE A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844168",
            "telephone_number": "904-824-8088",
            "fax_number": "904-826-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDA RAMIREZ",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.