NPIMap

Organization Active NPI

Ocala Health Surgical Group LLC

  • Surgery Physician
  • Ocala, FL
National Provider Identifier
1477217271
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
OCALA HEALTH SURGICAL GROUP LLC
Practice address
4600 SW 46TH CT Ste 370
Ocala, FL 34474-5782
Phone
(352) 629-1800
NPI assigned
Oct 27, 2021
Organization subpart
Yes
Parent organization
OCALA HEALTH SURGICAL GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
William Tedrick Johnson
Title
Vice President
Phone
(615) 372-3375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4600 SW 46TH CT Ste 370
Ocala, FL 34474-5782

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 372-5426

National Provider Directory

National Provider Directory
Tax ID family
Ocala Health Surgical Group4 organizations share this tax ID, including this one
Part of
Ocala Health Surgical Group

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4600 SW 46th Ct
Ste 310
Ocala, FL 34474
Phone (352) 291-0239

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1477217271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-372-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SW 46TH CT STE 370",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745782",
            "telephone_number": "352-629-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA HEALTH SURGICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCALA HEALTH SURGICAL GROUP LLC",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TEDRICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-3375"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "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 Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.