Organization Active NPI

Ocana Medical Center LLC

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1508027657
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 95608 Issued in FL
Legal business name
OCANA MEDICAL CENTER LLC
Practice address
6529 Gunn Highway
Tampa, FL 33625-4021
Phone
(813) 968-8314
Fax
(813) 961-3096
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Dr. Antonio L Ocana, MDNPI 1396753620
Title
Physician/Owner
Phone
(813) 968-8314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME 95608 FL Primary

Addresses

Primary practice location

6529 Gunn Highway
Tampa, FL 33625-4021

Mailing address

6529 Gunn Highway
Tampa, FL 33625-4021
Phone (813) 968-8314

Other identifiers 1

IdentifierTypeStateIssuer
276616700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081008000848 FL Part B Supplier - Clinic/Group Practice 8820166473 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

6529 Gunn Hwy
Tampa, FL 33625
Phone (813) 444-4666

6553 Gunn Hwy
Tampa, FL 33625
Phone (813) 968-8314

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1508027657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6529 GUNN HIGHWAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254021",
            "telephone_number": "813-968-8314",
            "fax_number": "813-961-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 GUNN HIGHWAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254021",
            "telephone_number": "813-968-8314",
            "fax_number": "813-961-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCANA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "OCANA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "813-968-8314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 95608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276616700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.