Jeffrey D Wasserman, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS3951 Issued in FL

Practice address

1249 Strong Road
Quincy, FL 32353-2009

Phone

(850) 875-9500

Fax

(850) 627-2786

NPI assigned

Jun 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Florida Medical Centers IncGroup PAC ID 6103737697, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCBJAD
• Direct secure messaging: jeffrey.wasserman@nfmc.eclinicaldirectplus.com

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.

• North Florida Medical Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Perry, FL
  • NPI 1255526638
  Medicare reassignment Care Compare group NPD
• North Florida Medical Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cross City, FL
  • NPI 1053315564
  NPD
• North Florida Medical Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Tallahassee, FL
  • NPI 1538676739
  NPD
• North Florida Medical Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Crestview, FL
  • NPI 1194908954
  NPD (past)
• North Florida Medical Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Wewahitchka, FL
  • NPI 1598769192
  NPD (past)
• North Florida Medical Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Quincy, FL
  • NPI 1356345862
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1972507556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 REMINGTON GREEN CIR STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081550",
            "telephone_number": "850-385-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 STRONG ROAD",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323532009",
            "telephone_number": "850-875-9500",
            "fax_number": "850-627-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS3951",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS3951",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047973000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ASSOCIATED PTAN",
            "identifier": "99388",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Jeanie Canty Ward
• Patti Ward
• Ware Services
• Washington Arms of Care LLC
• Cynthia Ann Watson
• Sandra K Watson, RDH
• WCRX of Quincy
• Allison Victoria Webster, LCSW
• Jill McElligott Welch, LM CPM

• Internal Medicine Physician in Quincy, FL
• Providers in Quincy, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.

Verify at the official NPI Registry.