Active NPI
Physicians for a Community United for Research and Education LLC
- Nuclear Radiology Physician
- Ocala, FL
National Provider Identifier
1134433006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- Legal business name
- PHYSICIANS FOR A COMMUNITY UNITED FOR RESEARCH AND EDUCATION LLC
- Doing business as
- Ocala Community Cancer Center
- Practice address
- 3201 SW 33Rd Rd
Ocala, FL 34474-7459 - Phone
- (352) 291-2495
- Fax
- (352) 219-2498
- NPI assigned
- Aug 3, 2010
- 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
- Shyam B Paryani, MD
- Title
- President
- Phone
- (904) 346-3338
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | Primary | ||
| Radiation Oncology Physician | 2085R0001X | |||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
Primary practice location
3201 SW 33Rd Rd
Ocala, FL 34474-7459
Mailing address
3599 University Blvd S
Suite 1000
Jacksonville, FL 32216-4252
Phone (904) 346-3338
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000419803 | Medicaid | FL | |
| DO8891 | Other | FL | RR MEDICARE |
| 33201 | Other | FL | BCBS |
Other names 1
- Ocala Community Cancer Center
National Provider Directory
National Provider DirectoryLocations
3599 University Blvd S
Ste 1000
Jacksonville, FL 32216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295308800000",
"number": "1134433006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3599 UNIVERSITY BLVD S",
"address_2": "SUITE 1000",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164252",
"telephone_number": "904-346-3338",
"fax_number": "904-346-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 SW 33RD RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344747459",
"telephone_number": "352-291-2495",
"fax_number": "352-219-2498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS FOR A COMMUNITY UNITED FOR RESEARCH AND EDUCATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-03",
"last_updated": "2011-01-18",
"status": "A",
"authorized_official_last_name": "PARYANI",
"authorized_official_first_name": "SHYAM",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-346-3338",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000419803",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DO8891",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "33201",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ocala Community Cancer Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 18, 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.