Active NPI
Salvador A Gallardo, MD
- General Practice Physician
- Ocala, FL
National Provider Identifier
1295794188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME89290
- Practice address
- 7205 SE Maricamp Rd
Ocala, FL 34472-2105 - Phone
- (352) 680-0324
- Fax
- (352) 680-0173
- NPI assigned
- Mar 21, 2006
- Last updated
- Jul 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME89290 | FL | Primary |
Addresses
Primary practice location
7205 SE Maricamp Rd
Ocala, FL 34472-2105
Mailing address
1425 S US 301
Sumterville, FL 33585-5141
Phone (352) 793-5900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53009 | Other | FL | BCBS FL |
| P00707508 | Other | FL | RR MEDICARE |
| 273832500 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Past | Accepting new patients | |
| Jesup Emergency Services, LLC | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Levy County Health Department
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
-
- Emergency Medicine Physician
- Jesup, GA
- NPI 1699733832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372809600000",
"number": "1295794188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 S US 301",
"city": "SUMTERVILLE",
"state": "FL",
"postal_code": "335855141",
"telephone_number": "352-793-5900",
"fax_number": "352-793-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7205 SE MARICAMP RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344722105",
"telephone_number": "352-680-0324",
"fax_number": "352-680-0173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLARDO",
"first_name": "SALVADOR",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2013-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME89290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "53009",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00707508",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273832500",
"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 Jul 3, 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.