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Dr. Ryan Hare , MD

General Practice β€’ Jacksonville, FL

Active NPI 1114307931 Individual Practitioner Male Practitioner
Practice location in NPPES

2080 Child St
Jacksonville, FL 322145005

Call 3052933953 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2080 Child St

Jacksonville, FL 322145005

Telephone 3052933953
Organization at the Same NPPES Address or Phone
Naval Hospital Jacksonville Facility NPI 1265411383

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Dr. Hare as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

81 active clinicians are listed under General Practice with a practice address in Jacksonville, FL (2,293 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

7.4% of these 81 clinicians have the CMS telehealth indicator.

28.4% of these 81 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-12
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0101265166

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

License # reported to NPPES VA 0101265166

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Emily Arnold , PA-C

Physician Assistant

NPI 1699496869

Physician Assistant (Certified)

Destyni Blaylock , ARNP

Nurse Practitioner

NPI 1386121135

Advanced Registered Nurse Practitioner

Dr. Kim Burke , DO

Anesthesiology

NPI 1891897336

Doctor of Osteopathic Medicine (D.O.)

Julia Camp , RN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1215550835

Registered Nurse, Certified Registered Nurse Anesthetist

Dr. Jerry Chandler , DO

Internal Medicine - Cardiovascular Disease

NPI 1598739856

Doctor of Osteopathic Medicine (D.O.)

Dr. Jenny Chen , MD

Emergency Medicine

NPI 1245436781

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸ“
Updated Practice Location October 12, 2023

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322145005 (Tel: 3052933953)

πŸ“
Updated Business Mailing Address October 12, 2023

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322145005

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2023

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: VA 0101265166)

πŸ“
Updated Practice Location July 19, 2018

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708 (Tel: 7579535257)

πŸ‘€
Provider Name / Credentials Updated July 19, 2018

Recorded as RYAN HARE, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2018

General Practice (license number reported to NPPES: VA 0101265166)

βœ…
NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 10, 2017

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082197 (Tel: 7579535257)

πŸ“
Updated Business Mailing Address February 10, 2017

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082197

πŸ‘€
Provider Name / Credentials Updated February 10, 2017

Recorded as RYAN HARE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Student in an Organized Health Care Education/Training Program

βœ…
NPI Profile Active June 06, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 06, 2015

Registered at 4610 X ST, SACRAMENTO, CA 958172200 (Tel: 6195873530)

πŸ“
Business Mailing Address (Initial Record) June 06, 2015

Registered at 2103 ESPLANADE CIR, FOLSOM, CA 956307371

πŸ‘€
Provider Name / Credentials (Initial Record) June 06, 2015

Recorded as RYAN HARE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2015

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 06, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114307931
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2015
Last Update: October 12, 2023
Sole Proprietor: No

Other General Practices in Jacksonville

All General Practices in Jacksonville

Mailing Address

2080 Child St

Jacksonville, FL 322145005

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.