Active NPI
Alan Lee Mostov, DO
- Family Medicine Physician
- Ocala, FL
National Provider Identifier
1598842684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0S0003054
- 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, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82421 | Other | FL | BCBS |
| P00140261 | Other | FL | RR 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.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0S0003054 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Longwood, FL
- NPI 1386785202
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.