NPIMap

Organization Active NPI

Surgical Associates of Marion County PA

  • Surgery Physician
  • Ocala, FL
National Provider Identifier
1578740288
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME56492 Issued in FL
Legal business name
SURGICAL ASSOCIATES OF MARION COUNTY PA
Practice address
150 SE 17TH Street
Suite 603
Ocala, FL 34471-5162
Phone
(352) 368-2828
Fax
(352) 368-7670
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
William T Overcash, MDNPI 1528103553
Title
President
Phone
(352) 368-2828

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME56492 FL Primary

Addresses

Primary practice location

150 SE 17TH Street
Suite 603
Ocala, FL 34471-5162

Mailing address

150 SE 17TH Street
Suite 603
Ocala, FL 34471-5162
Phone (352) 368-2828

Other identifiers 1

IdentifierTypeStateIssuer
374619400MedicaidFL

National Provider Directory

National Provider Directory

Locations

150 SE 17th St
Ste 603
Ocala, FL 34471
Phone (352) 237-8898

Practitioners & affiliated clinicians

Practitioners 5

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": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1578740288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SE 17TH STREET",
            "address_2": "SUITE 603",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715162",
            "telephone_number": "352-368-2828",
            "fax_number": "352-368-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SE 17TH STREET",
            "address_2": "SUITE 603",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715162",
            "telephone_number": "352-368-2828",
            "fax_number": "352-368-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF MARION COUNTY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "OVERCASH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-368-2828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME56492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374619400",
            "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 May 23, 2008; 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.