Active NPI
John M Graves DO LLC
- Anesthesiology Physician
- Ocala, FL
National Provider Identifier
1508052812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS6266
- Legal business name
- JOHN M GRAVES DO LLC
- Practice address
- 2207 SW 1St Ave
Ocala, FL 34471-8105 - Phone
- (352) 351-1200
- Fax
- (352) 351-1850
- NPI assigned
- Sep 20, 2007
- Last updated
- Mar 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John M Graves
- Title
- Owner
- Phone
- (352) 351-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OS6266 | FL | Primary |
Addresses
Primary practice location
2207 SW 1St Ave
Ocala, FL 34471-8105
Mailing address
PO Box 3123
St Augustine, FL 32085-3123
Phone (904) 824-4990
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371047500 | Medicaid | FL | |
| 80699 | Other | FL | BCBS |
| DG7024 | Other | FL | RR MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Certified Registered Nurse Anesthetist
- Andover, KS
- NPI 1114909991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238371200000",
"number": "1508052812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3123",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320853123",
"telephone_number": "904-824-4990",
"fax_number": "904-824-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2207 SW 1ST AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344718105",
"telephone_number": "352-351-1200",
"fax_number": "352-351-1850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN M GRAVES DO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2009-03-30",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-351-1200",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "OS6266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371047500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "80699",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DG7024",
"state": "FL"
}
],
"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 Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.