Organization Active NPI

Ocala Pediatrics LLC

  • Pediatrics Physician
  • Ocala, FL
National Provider Identifier
1578601464
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OCALA PEDIATRICS LLC
Practice address
1500 SE 17TH St
#600
Ocala, FL 34471-4621
Phone
(352) 732-8955
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Paul C Logas, MD
Title
President
Phone
(352) 732-8955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X FL Primary

Addresses

Primary practice location

1500 SE 17TH St
#600
Ocala, FL 34471-4621

Mailing address

1500 SE 17TH St
#600
Ocala, FL 34471-4621
Phone (352) 732-8955

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0272797Uf Health Pediatrics - Ocala1500 SE 17TH St BLDG 600, Ocala, FL 34471Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Locations

1500 SE 17th St
Ste 600
Ocala, FL 34471
Phone (352) 273-7770

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1578601464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SE 17TH ST",
            "address_2": "#600",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714621",
            "telephone_number": "352-732-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SE 17TH ST",
            "address_2": "#600",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714621",
            "telephone_number": "352-732-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "LOGAS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-732-8955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "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 Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.