Individual provider Active NPI

Alan Lee Mostov, DO

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1598842684
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0S0003054 Issued in FL
Practice address
7860 SW 103Rd Street Rd
BLDG 100 Suite 101
Ocala, FL 34476-8623
Phone
(352) 873-4458
Fax
(352) 873-8116
NPI assigned
Nov 1, 2006
Last updated
Dec 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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 0S0003054 FL Primary

Addresses

Primary practice location

7860 SW 103Rd Street Rd
BLDG 100 Suite 101
Ocala, FL 34476-8623

Mailing address

PO Box 770719
Ocala, FL 34477-0179
Phone (352) 873-4458

Other identifiers 2

IdentifierTypeStateIssuer
82421OtherFLBCBS
P00140261OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0S0003054FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seminole Primary Care Physicians PA Family Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1598842684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770719",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344770179",
            "telephone_number": "352-873-4458",
            "fax_number": "352-873-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7860 SW 103RD STREET RD",
            "address_2": "BLDG 100 SUITE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344768623",
            "telephone_number": "352-873-4458",
            "fax_number": "352-873-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTOV",
        "first_name": "ALAN",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0S0003054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82421",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00140261",
            "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 Dec 17, 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.

Verify at the official NPI Registry.