Organization Active NPI

Jose a Gaudier MD PA

  • Neurology Physician
  • Ocala, FL
National Provider Identifier
1043390651
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME0060291 Issued in FL
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

Updated by the provider on Mar 9, 2012

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
12485OtherFLBLUE CROSS
7218232004OtherFLCIGNA
055513400MedicaidFL
214728OtherFLAVMED
22593OtherFLWELLCARE
DF6521OtherFLRR MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.