Active NPI
Robert Demarco Jr., MD
- Critical Care Medicine (Internal Medicine) Physician
- Ocoee, FL
National Provider Identifier
1689771792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- ME103204
- Practice address
- 2582 Maguire Rd
Suite 270
Ocoee, FL 34761-4749 - Phone
- (407) 255-8144
- Fax
- (407) 641-9528
- NPI assigned
- Sep 20, 2006
- Last updated
- Dec 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35059825 | OH | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME103204 | FL | Primary |
| Pulmonary Disease Physician | 207RP1001X | 35059825 | OH |
Addresses
Primary practice location
2582 Maguire Rd
Suite 270
Ocoee, FL 34761-4749
Mailing address
11319 Shandon Park Way
Windermere, FL 34786-6063
Phone (407) 258-8570
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0793897 | Medicaid | OH | |
| DE0673483 | Other | OH | PIN |
| 000000028616 | Other | OH | ANTHEM |
| 000000130414 | Other | OH | ANTHEM |
| DE0673482 | Other | OH | PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME103204 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
| 35059825 | OH | MD | Pulmonary Disease Physician |
Interoperability endpoints
- robert.demarco@hca4.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1689771792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11319 SHANDON PARK WAY",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866063",
"telephone_number": "407-258-8570",
"fax_number": "407-641-9528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2582 MAGUIRE RD",
"address_2": "SUITE 270",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614749",
"telephone_number": "407-255-8144",
"fax_number": "407-641-9528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARCO",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OH",
"license": "35059825",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME103204",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35059825",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0793897",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "DE0673483",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000028616",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000130414",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "DE0673482",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.