Active NPI
Santiago Mesorana, MD
- Emergency Medicine Physician
- Ocala, FL
National Provider Identifier
1427046978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME56115
- Practice address
- 1431 SW 1St Avenue
Ocala, FL 34474 - Phone
- (352) 401-1000
- Fax
- (352) 401-1210
- NPI assigned
- Oct 10, 2005
- Last updated
- Aug 25, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME56115 | FL | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | ME0056115 | FL |
Addresses
Primary practice location
1431 SW 1St Avenue
Ocala, FL 34474
Mailing address
1613 N Harrison Parkway
#200
Sunrise, FL 33323-2853
Phone (954) 838-2371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370472600 | Medicaid | FL |
Other names 1
- Santiago Mesorana-Torres
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0056115 | FL | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Brevard County Hospital District | Past | Accepting new patients | |
| Inphynet Contracting Services LLC | Emergency Medicine | Past | Accepting new patients |
| Florida Em-I Medical Services PA | Emergency Medicine | Past | Accepting new patients |
| Floridian Emergency Specialists, LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
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-
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- NPI 1073556767
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dba Parrish Medical Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1427046978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 N HARRISON PARKWAY",
"address_2": "#200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232853",
"telephone_number": "954-838-2371",
"fax_number": "954-851-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 SW 1ST AVENUE",
"city": "OCALA",
"state": "FL",
"postal_code": "34474",
"telephone_number": "352-401-1000",
"fax_number": "352-401-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESORANA",
"first_name": "SANTIAGO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME56115",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "FL",
"license": "ME0056115",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370472600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SANTIAGO",
"last_name": "MESORANA-TORRES",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 25, 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.