Active NPI
Oscar B Depaz, MD
- Physical Medicine & Rehabilitation Physician
- Gainesville, FL
National Provider Identifier
1619956570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME0043599
- Practice address
- 4343 W Newberry Rd
Suite 14
Gainesville, FL 32607-2817 - Phone
- (352) 373-4321
- NPI assigned
- Jan 10, 2006
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ME0043599 | FL | Primary |
Addresses
Primary practice location
4343 W Newberry Rd
Suite 14
Gainesville, FL 32607-2817
Mailing address
4881 NW 8TH Ave
Suite 2
Gainesville, FL 32605-4582
Phone (352) 373-6338
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0043599 | FL | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1619956570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4881 NW 8TH AVE",
"address_2": "SUITE 2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054582",
"telephone_number": "352-373-6338",
"fax_number": "352-373-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 W NEWBERRY RD",
"address_2": "SUITE 14",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072817",
"telephone_number": "352-373-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPAZ",
"first_name": "OSCAR",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME0043599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.