Organization Active NPI

Cardiothoracic Vascular Surgeons of Ocala

  • Surgery Physician
  • Ocala, FL
National Provider Identifier
1093037293
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME94805 Issued in FL
Legal business name
CARDIOTHORACIC VASCULAR SURGEONS OF OCALA
Practice address
5042 SE 4TH Ave
Ocala, FL 34480-4763
Phone
(352) 687-3576
Fax
(352) 687-3370
NPI assigned
Feb 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Dr. Fariba Gharai, MD
Title
President
Phone
(352) 484-0792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME94805 FL Primary

Addresses

Primary practice location

5042 SE 4TH Ave
Ocala, FL 34480-4763

Mailing address

PO Box 1749
Ocala, FL 34478-1749
Phone (352) 687-3576

Other identifiers 1

IdentifierTypeStateIssuer
000147700MedicaidFL

National Provider Directory

National Provider Directory

Locations

1130 SE 18th Pl
Ocala, FL 34471
Phone (352) 390-6656

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1093037293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1749",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344781749",
            "telephone_number": "352-687-3576",
            "fax_number": "352-687-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5042 SE 4TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344804763",
            "telephone_number": "352-687-3576",
            "fax_number": "352-687-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOTHORACIC VASCULAR SURGEONS OF OCALA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "GHARAI",
        "authorized_official_first_name": "FARIBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-484-0792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME94805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000147700",
            "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 16, 2010; 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.