Fredric Charles Wollett

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME41455 Issued in FL

Practice address

1818 SW 15TH Ave
Ocala, FL 34474-3548

Phone

(352) 671-4300

Fax

(352) 671-4393

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ocala Health Imaging Services LLC

  • Diagnostic Radiology Physician
  • Ocala, FL
  • NPI 1023318060
  Medicare reassignment NPD
• Medical Imaging Center of Ocala LLP

  • Diagnostic Radiology Physician
  • Ocala, FL
  • NPI 1215602032
  NPD (past)
• St. Francis Physician Practices LLC

  • Gastroenterology Physician
  • Columbus, GA
  • NPI 1609655646

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598753352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344786200",
            "telephone_number": "352-671-4300",
            "fax_number": "352-671-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 SW 15TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743548",
            "telephone_number": "352-671-4300",
            "fax_number": "352-671-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLETT",
        "first_name": "FREDRIC",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME41455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069894600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Samuel Woelffer, DO6335,ABONCLE201114
• Sadie Wofford
• Peyton Wohlwender
• Sebastian Wolf, DPT
• Andrew Wolfram, MD
• Bruce David Wolosky, DPM
• Michael Jacob Wolosky, DPM
• Womens Health Associates PA
• Wonderfully Made Healthcare
• Fong James Wong, M.D

• Diagnostic Radiology Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.