Organization Active NPI

Caruso Medical Center Inc

  • General Practice Physician
  • Sebring, FL
National Provider Identifier
1750374906
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS0004638 Issued in FL
Legal business name
CARUSO MEDICAL CENTER INC
Practice address
3324 Commerce Center LN
Sebring, FL 33870-5542
Phone
(863) 471-3344
Fax
(863) 471-1896
NPI assigned
Aug 23, 2005
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Dr. John R Caruso, DO
Title
DO
Phone
(863) 471-3344

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA0003689 FL
General Practice Physician 208D00000X OS0004638 FL Primary
Physical Therapist 225100000X PT0016172 FL

Addresses

Primary practice location

3324 Commerce Center LN
Sebring, FL 33870-5542

Mailing address

3324 Commerce Center LN
Sebring, FL 33870-5542
Phone (863) 471-3344

Other identifiers 1

IdentifierTypeStateIssuer
82597OtherFLBCBS OF FL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1750374906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 COMMERCE CENTER LN",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705542",
            "telephone_number": "863-471-3344",
            "fax_number": "863-471-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 COMMERCE CENTER LN",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705542",
            "telephone_number": "863-471-3344",
            "fax_number": "863-471-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARUSO MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "863-471-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA0003689",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS0004638",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0016172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "82597",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.