Active NPI
Jose a Gaudier MD PA
- Neurology Physician
- Ocala, FL
National Provider Identifier
1043390651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME0060291
- Legal business name
- JOSE A GAUDIER MD PA
- Practice address
- 1805 SE 16TH Ave
Suite 1202
Ocala, FL 34471-4670 - Phone
- (352) 732-8630
- Fax
- (352) 867-7895
- NPI assigned
- Oct 17, 2006
- 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
- Maria E Alen
- Title
- Principal Officer
- Phone
- (352) 732-8630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME0060291 | FL | Primary |
Addresses
Primary practice location
1805 SE 16TH Ave
Suite 1202
Ocala, FL 34471-4670
Mailing address
PO Box 5277
Ocala, FL 34478-5277
Phone (352) 732-7095
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12485 | Other | FL | BLUE CROSS |
| 7218232004 | Other | FL | CIGNA |
| 055513400 | Medicaid | FL | |
| 214728 | Other | FL | AVMED |
| 22593 | Other | FL | WELLCARE |
| DF6521 | Other | FL | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1740 SE 18th St
Ste 1202
Ocala, FL 34471
Phone (347) 281-0197
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
1901 SE 18th Ave
Ste 400
Ocala, FL 34471
Phone (352) 620-0070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331251200000",
"number": "1043390651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5277",
"city": "OCALA",
"state": "FL",
"postal_code": "344785277",
"telephone_number": "352-732-7095",
"fax_number": "352-867-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 SE 16TH AVE",
"address_2": "SUITE 1202",
"city": "OCALA",
"state": "FL",
"postal_code": "344714670",
"telephone_number": "352-732-8630",
"fax_number": "352-867-7895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE A GAUDIER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2012-03-09",
"status": "A",
"authorized_official_last_name": "ALEN",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRINCIPAL OFFICER",
"authorized_official_telephone_number": "352-732-8630"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME0060291",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "12485",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7218232004",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055513400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "214728",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "22593",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DF6521",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.