Individual provider Active NPI

Robert Demarco Jr., MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Ocoee, FL
National Provider Identifier
1689771792
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME103204 Issued in FL
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0793897MedicaidOH
DE0673483OtherOHPIN
000000028616OtherOHANTHEM
000000130414OtherOHANTHEM
DE0673482OtherOHPIN

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME103204FLMDCritical Care Medicine (Internal Medicine) Physician
35059825OHMDPulmonary Disease Physician

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.