Active NPI
Xai Ma, M.D.
- Family Medicine Physician
- Gainesville, FL
National Provider Identifier
1033272364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0042567
- Practice address
- 1621 NE Waldo Rd
Gainesville, FL 32609-3900 - Phone
- (352) 955-5540
- Fax
- (352) 373-5326
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0042567 | FL | Primary |
Addresses
Primary practice location
1621 NE Waldo Rd
Gainesville, FL 32609-3900
Mailing address
1621 NE Waldo Rd
Gainesville, FL 32609-3900
Phone (352) 955-5540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0042567 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033272364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 NE WALDO RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326093900",
"telephone_number": "352-955-5540",
"fax_number": "352-373-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 NE WALDO RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326093900",
"telephone_number": "352-955-5540",
"fax_number": "352-373-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MA",
"first_name": "XAI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0042567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.