Active NPI
Vantage Health, LLC
Doing business as Vantage Urologic Institute
- Urology Physician
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- VANTAGE HEALTH, LLC
- Doing business as
- Vantage Urologic Institute
- Practice address
- 9401 SW Highway 200 Ste 502
Ocala, FL 34481-9650 - Phone
- (352) 671-4488
- Fax
- (352) 854-5726
- NPI assigned
- Dec 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Russell Locke, MD
- Title
- Managing Member
- Phone
- (352) 861-2115
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
9401 SW Highway 200 Ste 502
Ocala, FL 34481-9650
Mailing address
PO Box 773730
Ocala, FL 34477-3730
Phone (352) 861-2115
Other practice location 1
4600 SW 46th Ct
Suite 160
Ocala, FL 34474-5708
Phone (352) 861-2115
Other names 1
- Vantage Urologic Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2003027 | Vantage Urologic Institute | Certificate of waiver | Jan 31, 2028 |
| 10D2004804 | Vantage Urologic Institute | Accreditation | Nov 13, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Ocala, FL
- NPI 1497703912
-
- Obstetrics & Gynecology Physician
- Ocala, FL
- NPI 1841828092
-
- Anatomic Pathology & Clinical Pathology Physician
- Tampa, FL
- NPI 1013064021
-
- Anatomic Pathology & Clinical Pathology Physician
- Little Rock, AR
- NPI 1265545099
FL
-
- Anatomic Pathology & Clinical Pathology Physician
- Lehi, UT
- NPI 1073713897
FL
-
- Anatomic Pathology & Clinical Pathology Physician
- Fort Myers, FL
- NPI 1447211958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525737600000",
"number": "1649509878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 773730",
"city": "OCALA",
"state": "FL",
"postal_code": "344773730",
"telephone_number": "352-861-2115",
"fax_number": "352-854-5726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 SW HIGHWAY 200 STE 502",
"city": "OCALA",
"state": "FL",
"postal_code": "344819650",
"telephone_number": "352-671-4488",
"fax_number": "352-854-5726"
}
],
"practiceLocations": [
{
"address_1": "4600 SW 46th Ct",
"address_2": "Suite 160",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344745708",
"country_code": "US",
"telephone_number": "352-861-2115",
"fax_number": "352-854-5726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VANTAGE HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-17",
"last_updated": "2018-05-08",
"status": "A",
"authorized_official_last_name": "LOCKE",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "RUSSELL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "352-861-2115",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vantage Urologic Institute",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vantage Urologic Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
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 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.