Active NPI
Munroe Regional Health System Inc
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ocala, FL
National Provider Identifier
1013189604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- MUNROE REGIONAL HEALTH SYSTEM INC
- Practice address
- 1511 SW 1St Ave
Ocala, FL 34471-6505 - Phone
- (352) 867-8311
- Fax
- (352) 867-1053
- NPI assigned
- Mar 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Mutarelli
- Title
- Executive Vice President Cfo
- Phone
- (352) 351-7200
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
1511 SW 1St Ave
Ocala, FL 34471-6505
Mailing address
PO Box 3130
Ocala, FL 34478-3130
Phone (352) 867-8311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 281125100 | Medicaid | FL | |
| 33016 | Other | FL | BCBS OF FL |
Other names 1
- Munroe Professional Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282694400000",
"number": "1013189604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3130",
"city": "OCALA",
"state": "FL",
"postal_code": "344783130",
"telephone_number": "352-867-8311",
"fax_number": "352-867-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 SW 1ST AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344716505",
"telephone_number": "352-867-8311",
"fax_number": "352-867-1053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUNROE REGIONAL HEALTH SYSTEM INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-24",
"last_updated": "2010-08-25",
"status": "A",
"authorized_official_last_name": "MUTARELLI",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT CFO",
"authorized_official_telephone_number": "352-351-7200"
},
"taxonomies": [
{
"code": "207QB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "281125100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "33016",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Munroe Professional Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ocala, FL
- Angelica Maria Mullen, BS, CLC
- Emmaline Sarah Mullings, L.M.T.
- Rikina Mullins, COTA
- Rosilvia Muniz Quiros, MD
- Munroe Hma Hospital LLC
- Munroe Regional Health System Inc
- Munroe Regional Health System, Inc.
- Munroe Regional Health Systems Inc
- Munroe Regional Home Health Services
- Munroe Regional Homecare, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.