Individual provider Active NPI

Judith D Noel, MD

  • Family Medicine Physician
  • Bayonet Point, FL
National Provider Identifier
1932105269
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0023193 Issued in FL
Practice address
7575 State Road 52
Bayonet Point, FL 34667-6716
Phone
(727) 861-9800
Fax
(727) 861-7670
NPI assigned
Jun 22, 2005
Last updated
Oct 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0023193 FL Primary

Addresses

Primary practice location

7575 State Road 52
Bayonet Point, FL 34667-6716

Mailing address

7575 State Road 52
Bayonet Point, FL 34667-6716
Phone (727) 861-9800

Other identifiers 1

IdentifierTypeStateIssuer
063938900MedicaidFL

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
I20101011000295 FL Practitioner - Internal Medicine 0840321543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of Ny Upstate Medical University, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of West FLGroup PAC ID 0941307698, 10 clinicians

Practice addresses (Care Compare)

7575 State Rd
Suite 52
Bayonet Point, FL 34667-6787
Phone 7278619800223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0023193FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of West FL Family Medicine CurrentSince Oct 1, 2000 Accepting new patients

Locations

7575 State Road 52
Hudson, FL 34667
Phone (727) 726-8871

Interoperability endpoints

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

Organizations & group practices 1

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1932105269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 STATE ROAD 52",
            "city": "BAYONET POINT",
            "state": "FL",
            "postal_code": "346676716",
            "telephone_number": "727-861-9800",
            "fax_number": "727-861-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 STATE ROAD 52",
            "city": "BAYONET POINT",
            "state": "FL",
            "postal_code": "346676716",
            "telephone_number": "727-861-9800",
            "fax_number": "727-861-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL",
        "first_name": "JUDITH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0023193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063938900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonet Point, FL

Sources for this page

Verify at the official NPI Registry.