Organization Active NPI

Heart Doctors of Ocala LLC

  • Cardiovascular Disease Physician
  • Summerfield, FL
National Provider Identifier
1275856064
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME83972 Issued in FL
Legal business name
HEART DOCTORS OF OCALA LLC
Practice address
10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone
(352) 347-8063
Fax
(352) 347-6187
NPI assigned
Mar 8, 2010
Last updated
Dec 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Mrs. Sonya Nasser
Title
Administrator
Phone
(352) 624-7384

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME85309 FL
Cardiovascular Disease Physician 207RC0000X ME83972 FL Primary

Addresses

Primary practice location

10435 SE 170TH PL
Summerfield, FL 34491-8998

Mailing address

2930 SE 31St St
Ocala, FL 34471-6287
Phone (352) 624-7384

Other identifiers 2

IdentifierTypeStateIssuer
000X4OtherFLBCBS
262215700MedicaidFL

National Provider Directory

National Provider Directory

Locations

3304 SW 34th Cir
Ste 101
Ocala, FL 34474
Phone (352) 401-7575

9401 SW Highway 200
Ste 6003
Ocala, FL 34481
Phone (352) 347-2315

Practitioners & affiliated clinicians

Practitioners 1

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": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1275856064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 SE 31ST ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716287",
            "telephone_number": "352-624-7384",
            "fax_number": "352-624-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 SE 170TH PL",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918998",
            "telephone_number": "352-347-8063",
            "fax_number": "352-347-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART DOCTORS OF OCALA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-624-7384",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85309",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME83972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000X4",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262215700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.