Organization Active NPI

Interventional Medical Services, LLC

Doing business as Fakhoury Medical & Chiropractic Center

  • Pediatric Rehabilitation Medicine Physician
  • Ocala, FL
National Provider Identifier
1386395143
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
Legal business name
INTERVENTIONAL MEDICAL SERVICES, LLC
Doing business as
Fakhoury Medical & Chiropractic Center
Practice address
1009 SW 16TH Lane Suite B
Ocala, FL 34471-1228
Phone
(352) 351-3413
Fax
(352) 629-6667
NPI assigned
Jan 13, 2022
Last updated
Mar 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Amer Ansari, D.O.
Title
Medical Director
Phone
(352) 351-3413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X Primary

Addresses

Primary practice location

1009 SW 16TH Lane Suite B
Ocala, FL 34471-1228

Mailing address

1009 SW 16TH Lane Suite B
Ocala, FL 34471-1228
Phone (352) 351-3413

Other names 1

  • FAKHOURY MEDICAL & CHIROPRACTIC CENTER Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2004124Fakhoury Medical and Chiropractic Center1009 SW 16TH LN, Ocala, FL 34471Certificate of waiverFeb 24, 2028
10D2169122Fakhoury Medical and Chiropractic Center1009 SW 16TH Lane, Ocala, FL 34471Certificate of waiverJul 15, 2027

National Provider Directory

National Provider Directory

Locations

1009 SW 16th Ln
Ste B
Ocala, FL 34471
Phone (352) 351-3413

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1386395143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 SW 16TH LANE SUITE B",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711228",
            "telephone_number": "352-351-3413",
            "fax_number": "352-629-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 SW 16TH LANE SUITE B",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711228",
            "telephone_number": "352-351-3413",
            "fax_number": "352-629-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-351-3413",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAKHOURY MEDICAL & CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAKHOURY MEDICAL & CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.