Individual provider Active NPI

James John Wisdo, DO

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1508837998
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7546 Issued in FL
Practice address
2685 SW 32ND PL Ste 500
Ocala, FL 34471-7867
Phone
(352) 622-9007
Fax
(352) 622-2179
NPI assigned
Feb 1, 2006
Last updated
Jul 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7546 FL Primary

Addresses

Primary practice location

2685 SW 32ND PL Ste 500
Ocala, FL 34471-7867

Mailing address

PO Box 830910
Ocala, FL 34483
Phone (352) 622-9007

Other identifiers 3

IdentifierTypeStateIssuer
P00171886OtherFLRR MEDICARE
253125900MedicaidFL
57560OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019000886 FL Practitioner - Family Practice 4385605823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

2685 SW 32ND PL
Ocala, FL 34471-7867
Phone (352) 622-9007

8449 SW Hwy 200
Suite 141
Ocala, FL 34481-9695
Phone (352) 693-3378

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS7546FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wisdo Family Medicine, James John Wisdo DO PA Family Medicine CurrentSince Oct 2, 2004 Accepting new patients

Locations

2118 SW 20th Pl
Ste 102
Ocala, FL 34471
Phone (352) 291-1022

2685 SW 32nd Pl
Ste 500
Ocala, FL 34471
Phone (352) 509-3045

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1508837998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830910",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34483",
            "telephone_number": "352-622-9007",
            "fax_number": "352-622-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 SW 32ND PL STE 500",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717867",
            "telephone_number": "352-622-9007",
            "fax_number": "352-622-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDO",
        "first_name": "JAMES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00171886",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253125900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57560",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.