Individual provider Active NPI

John Prospero Gresh, MD

  • Specialist
  • Ocala, FL
National Provider Identifier
1700888559
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0049373 Issued in FL
Practice address
3301 SW 34TH Cir
Suite 101
Ocala, FL 34474-6621
Phone
(352) 861-0100
Fax
(352) 861-1119
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0049373 FL Primary

Addresses

Primary practice location

3301 SW 34TH Cir
Suite 101
Ocala, FL 34474-6621

Mailing address

3301 SW 34TH Cir
Suite 101
Ocala, FL 34474-6621
Phone (352) 861-0100

Other identifiers 2

IdentifierTypeStateIssuer
253616100MedicaidFL
BCBSOtherFL08641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040608000591 FL Practitioner - Rheumatology 1951384429

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0049373FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis and Osteoporosis Center CurrentSince Aug 28, 2022 Accepting new patients

Locations

3301 SW 34th Cir
Ste 101
Ocala, FL 34474
Phone (352) 861-0100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1700888559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SW 34TH CIR",
            "address_2": "SUITE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344746621",
            "telephone_number": "352-861-0100",
            "fax_number": "352-861-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SW 34TH CIR",
            "address_2": "SUITE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344746621",
            "telephone_number": "352-861-0100",
            "fax_number": "352-861-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESH",
        "first_name": "JOHN",
        "middle_name": "PROSPERO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "0049373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253616100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "08641",
            "identifier": "BCBS",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.