Mid-Florida Endoscopy & Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1327 Issued in FL

Legal business name

MID-FLORIDA ENDOSCOPY & SURGERY CENTER LLC

Practice address

1950 SW 18TH CT
Suite 102
Ocala, FL 34471-7857

Phone

(352) 861-8555

Fax

(352) 401-0124

NPI assigned

Apr 14, 2009

Last updated

Nov 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thimmiah Kumar, M.D.NPI 1629062617

Title

Ceo

Phone

(352) 861-8555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Mid Florida Endoscopy and Surgery Center LLCCCN 10C0001547

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 3

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.

• Thimmiah Kumar, M. D.

  • Specialist
  • Ocala, FL
  • NPI 1629062617
  NPD Authorized official
• Kelly Blocker

  • Family Nurse Practitioner
  • Ocala, FL
  • NPI 1598534729
  NPD (past)
• Ladden D Herrmann, CRNA

  • Certified Registered Nurse Anesthetist
  • Ocala, FL
  • NPI 1700870391
  NPD (past)

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1417190935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SW 18TH CT",
            "address_2": "SUITE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717857",
            "telephone_number": "352-861-8555",
            "fax_number": "352-401-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SW 18TH CT",
            "address_2": "SUITE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717857",
            "telephone_number": "352-861-8555",
            "fax_number": "352-401-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA ENDOSCOPY & SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "THIMMIAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-861-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Florida Anesthesia
• Mid Florida Anesthesia, LLC
• Mid Florida Dental Lab, Inc (Mid Florida Dental Lab)
• Mid Florida Medical
• Mid-Florida Age Management
• Gnaneswara V Midathala, M.D.
• Deanna May Middleton
• Midstate Neurology
• Midstate Skin Institute, LLC
• Midway Group Home (Dba)

• Ambulatory Surgical Clinic/Center in Ocala, FL
• Providers in Ocala, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.