NPIMap

Organization Active NPI

Surgical Specialists of Ocala PA

  • Vascular Surgery Physician
  • Ocala, FL
National Provider Identifier
1215144191
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME59502 Issued in FL
Legal business name
SURGICAL SPECIALISTS OF OCALA PA
Practice address
1920 SW 20TH Place
Building 100
Ocala, FL 34471-7881
Phone
(352) 237-1212
Fax
(352) 237-0066
NPI assigned
May 17, 2007
Last updated
Aug 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Teresa Barup
Title
Busines Manager
Phone
(352) 237-1212

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME59502 FL
Vascular Surgery Physician 2086S0129X ME59502 FL Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME59502 FL

Addresses

Primary practice location

1920 SW 20TH Place
Building 100
Ocala, FL 34471-7881

Mailing address

1920 SW 20TH Place
Building 100
Ocala, FL 34471-7881
Phone (352) 237-1212

Other identifiers 4

IdentifierTypeStateIssuer
CI7785OtherFLRAILROAD MEDICARE
255529800MedicaidFL
F69827OtherFLUPIN
251276900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1920 SW 20th Pl
Ste 100
Ocala, FL 34471
Phone (352) 237-1212

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72321

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1215144191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 SW 20TH PLACE",
            "address_2": "BUILDING 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717881",
            "telephone_number": "352-237-1212",
            "fax_number": "352-237-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 SW 20TH PLACE",
            "address_2": "BUILDING 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717881",
            "telephone_number": "352-237-1212",
            "fax_number": "352-237-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF OCALA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "BARUP",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "BUSINES MANAGER",
        "authorized_official_telephone_number": "352-237-1212"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME59502",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME59502",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME59502",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI7785",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255529800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F69827",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251276900",
            "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 Aug 11, 2022; 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.