Active NPI
Antoine Yvan Demosthene, M.D
- Psychiatry Physician
- Ocala, FL
National Provider Identifier
1265583447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35045033
- Practice address
- 5664 SW 60TH Ave
Ocala, FL 34474-5677 - Phone
- (352) 291-5555
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 103706 | FL | |
| Psychiatry Physician | 2084P0800X | 35045033 | OH | Primary |
Addresses
Primary practice location
5664 SW 60TH Ave
Ocala, FL 34474-5677
Mailing address
4403 N Saddle Dr
Beverly Hills, FL 34465-4855
Phone (419) 230-2396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103706 | FL | MD | Psychiatry Physician |
| 35045033 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paulding Counseling Center | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Universal Medical Administration | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Mental Health Counselor
- Paulding, OH
- NPI 1487646865
-
- Podiatrist
- Cleveland, OH
- NPI 1669412201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1265583447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 N SADDLE DR",
"city": "BEVERLY HILLS",
"state": "FL",
"postal_code": "344654855",
"telephone_number": "419-230-2396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5664 SW 60TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344745677",
"telephone_number": "352-291-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMOSTHENE",
"first_name": "ANTOINE",
"middle_name": "YVAN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "103706",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35045033",
"primary": true
}
],
"identifiers": [],
"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 Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.