Active NPI
Alliance Medical Associates, Inc.
- Internal Medicine Physician
- Ocala, FL
National Provider Identifier
1174577175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ALLIANCE MEDICAL ASSOCIATES, INC.
- Practice address
- 1800 SE 17TH Street
BLD 800
Ocala, FL 34471 - Phone
- (352) 622-7268
- Fax
- (352) 622-6045
- NPI assigned
- May 22, 2006
- 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
- Mrs. Tammy Lynn Bossio
- Title
- Billing Coordinator
- Phone
- (352) 622-7268
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1800 SE 17TH Street
BLD 800
Ocala, FL 34471
Mailing address
1800 SE 17TH St
BLDG 800
Ocala, FL 34471-4191
Phone (352) 622-7268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270788800 | 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 |
|---|---|---|---|
| 10D2006322 | Alliance Medical Associates Inc | Certificate of waiver | Apr 18, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Ocala, FL
- NPI 1871547802
-
- Internal Medicine Physician
- Ocala, FL
- NPI 1942268578
-
- Internal Medicine Physician
- Ocala, FL
- NPI 1154388932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362700800000",
"number": "1174577175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 SE 17TH ST",
"address_2": "BLDG 800",
"city": "OCALA",
"state": "FL",
"postal_code": "344714191",
"telephone_number": "352-622-7268",
"fax_number": "352-622-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SE 17TH STREET",
"address_2": "BLD 800",
"city": "OCALA",
"state": "FL",
"postal_code": "34471",
"telephone_number": "352-622-7268",
"fax_number": "352-622-6045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE MEDICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2013-03-08",
"status": "A",
"authorized_official_last_name": "BOSSIO",
"authorized_official_first_name": "TAMMY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "352-622-7268",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270788800",
"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 8, 2013; 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.