NPIMap

Organization Active NPI

Ocala Health Surgical Group LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ocala, FL
National Provider Identifier
1659540524
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
OCALA HEALTH SURGICAL GROUP LLC
Practice address
4600 SW 46TH CT
Suite 250
Ocala, FL 34474-5708
Phone
(352) 291-2400
Fax
(352) 291-2405
NPI assigned
Feb 26, 2008
Last updated
Jan 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Chuck Mewshaw
Title
VP
Phone
(850) 521-2117

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

4600 SW 46TH CT
Suite 250
Ocala, FL 34474-5708

Mailing address

4600 SW 46TH CT
Suite 250
Ocala, FL 34474-5708
Phone (352) 291-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081017000210 FL Part B Supplier - Clinic/Group Practice 4082787130 Receives reassigned benefits from 60 practitioners
Practice locations: Ocala, FL; The Villages, FL; Lake City, FL; Kissimmee, FL; Gainesville, FL

National Provider Directory

National Provider Directory

Locations

1121 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 331-6777

6500 W Newberry Rd
Ste 202
Gainesville, FL 32605
Phone (352) 331-5310

3291 Greenwald Way N
Kissimmee, FL 34741

1234 SE Magnolia Ext
Unit 1
Ocala, FL 34471
Phone (352) 401-1218

1500 SE Magnolia Ext
Ste 203
Ocala, FL 34471
Phone (352) 351-1883

1511 SW 1st Ave
#2
Ocala, FL 34471
Phone (352) 351-1022

1511 SW 1st Ave
Ste 2
Ocala, FL 34471

1725 SE 28th Loop
Ste 101
Ocala, FL 34471
Phone (352) 629-1730

1725 SE 28th Loop
Ste 103
Ocala, FL 34471
Phone (352) 629-1730

1740 SE 18th St
Ste 203
Ocala, FL 34471

1805 SE 16th Ave
#1201
Ocala, FL 34471
Phone (325) 789-6540

4600 SW 46th Ct
Ste 250
Ocala, FL 34474
Phone (352) 291-2400

4600 SW 46th Ct
Ste 370R
Ocala, FL 34474
Phone (352) 291-0239

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 131

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1659540524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SW 46TH CT",
            "address_2": "SUITE 250",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745708",
            "telephone_number": "352-291-2400",
            "fax_number": "352-291-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SW 46TH CT",
            "address_2": "SUITE 250",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745708",
            "telephone_number": "352-291-2400",
            "fax_number": "352-291-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA HEALTH SURGICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "MEWSHAW",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "850-521-2117"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.