Active NPI
Wisdo Family Medicine, James John Wisdo DO PA
- Family Medicine Physician
- Ocala, FL
National Provider Identifier
1053458455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WISDO FAMILY MEDICINE, JAMES JOHN WISDO DO PA
- Practice address
- 2685 SW 32ND PL Ste 500
Ocala, FL 34471-7867 - Phone
- (352) 622-9007
- Fax
- (352) 622-2179
- NPI assigned
- Feb 1, 2007
- 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
- Janice E Medley
- Title
- Office Manager
- Phone
- (352) 622-9007
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Family Medicine Physician | 207Q00000X | FL | Primary |
Addresses
Primary practice location
2685 SW 32ND PL Ste 500
Ocala, FL 34471-7867
Mailing address
2685 SW 32ND PL Ste 500
Ocala, FL 34471-7867
Phone (352) 622-9007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253125900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1032063 | Wisdo Family Medicine | Certificate of waiver | Jun 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
200 SE 17th St
Ste A
Ocala, FL 34471
Phone (352) 622-9007
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Dunnellon, FL
- NPI 1467900142
-
- Family Medicine Physician
- Ocala, FL
- NPI 1508837998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595289600000",
"number": "1053458455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2685 SW 32ND PL STE 500",
"city": "OCALA",
"state": "FL",
"postal_code": "344717867",
"telephone_number": "352-622-9007",
"fax_number": "352-622-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2685 SW 32ND PL STE 500",
"city": "OCALA",
"state": "FL",
"postal_code": "344717867",
"telephone_number": "352-622-9007",
"fax_number": "352-622-2179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISDO FAMILY MEDICINE, JAMES JOHN WISDO DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A",
"authorized_official_last_name": "MEDLEY",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "352-622-9007"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253125900",
"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 Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.