Organization Active NPI

Teresita L. Repiedad, M.D., P.a.

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1093010563
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0033930 Issued in FL
Legal business name
TERESITA L. REPIEDAD, M.D., P.A.
Practice address
1216 SE 24TH Rd
Ocala, FL 34471-6010
Phone
(352) 351-0647
Fax
(352) 622-1342
NPI assigned
Jan 14, 2011
Last updated
Feb 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teresita L Repiedad, M.D.
Title
Owner/President
Phone
(352) 351-0647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0033930 FL Primary

Addresses

Primary practice location

1216 SE 24TH Rd
Ocala, FL 34471-6010

Mailing address

1216 SE 24TH Rd
Ocala, FL 34471-6010
Phone (352) 351-0647

Other identifiers 1

IdentifierTypeStateIssuer
039258800MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1093010563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 SE 24TH RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716010",
            "telephone_number": "352-351-0647",
            "fax_number": "352-622-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 SE 24TH RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716010",
            "telephone_number": "352-351-0647",
            "fax_number": "352-622-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESITA L. REPIEDAD, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "REPIEDAD",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "352-351-0647",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0033930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039258800",
            "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 Feb 15, 2011; 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.