Organization Active NPI

Urology Associates of Ocala P.a.

  • Urology Physician
  • Ocala, FL
National Provider Identifier
1295751469
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME74735 Issued in FL
Legal business name
UROLOGY ASSOCIATES OF OCALA P.A.
Practice address
1752 SW 1St Ave
Ocala, FL 34474-5170
Phone
(352) 622-7222
Fax
(352) 622-6591
NPI assigned
Jul 14, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. John T Chacko, MDNPI 1063434413
Title
President
Phone
(352) 622-7222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X ME74735 FL Primary

Addresses

Primary practice location

1752 SW 1St Ave
Ocala, FL 34474-5170

Mailing address

1752 SW 1St Ave
Ocala, FL 34474-5170
Phone (352) 622-7222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101227000467 FL Part B Supplier - Clinic/Group Practice 3678761293 Receives reassigned benefits from 1 practitioner
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

1752 SW 1st Ave
Ocala, FL 34471
Phone (352) 622-7222

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": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1295751469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745170",
            "telephone_number": "352-622-7222",
            "fax_number": "352-622-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745170",
            "telephone_number": "352-622-7222",
            "fax_number": "352-622-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF OCALA P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-622-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME74735",
            "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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.