Jayaprakash Shetty MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME75985 Issued in FL

Legal business name

JAYAPRAKASH SHETTY MD PA

Practice address

1737A SE 28TH Loop
Ocala, FL 34471-1079

Phone

(352) 622-7755

Fax

(352) 622-4021

NPI assigned

Aug 17, 2006

Reactivated

Dec 23, 2008

Organization subpart

No

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

Authorized official

Name

Jayaprakash Shetty, MD

Title

President

Phone

(352) 622-7755

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1215040753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737A SE 28TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711079",
            "telephone_number": "352-622-7755",
            "fax_number": "352-622-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737A SE 28TH LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711079",
            "telephone_number": "352-622-7755",
            "fax_number": "352-622-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYAPRAKASH SHETTY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-12-17",
        "deactivation_date": "2007-10-04",
        "reactivation_date": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "JAYAPRAKASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-622-7755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008123700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Slobodan Jazarevic, M.D.
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• Jeffrey G. Pitts, D.C., P.a.

• Internal Medicine Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.