Organization Active NPI

Ocala West Family Medicine PA

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1750413795
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OCALA WEST FAMILY MEDICINE PA
Practice address
6041 SW 54TH St Ste 100
Ocala, FL 34474-5500
Phone
(352) 854-0700
Fax
(352) 854-2493
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Dr. David Charles Willis, MDNPI 1235261371
Title
Owner
Phone
(352) 854-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X FL Primary

Addresses

Primary practice location

6041 SW 54TH St Ste 100
Ocala, FL 34474-5500

Mailing address

6041 SW 54TH St Ste 100
Ocala, FL 34474-5500
Phone (352) 854-0700

National Provider Directory

National Provider Directory

Locations

8484 SW 103rd Street Rd
Ocala, FL 34481
Phone (352) 732-2745

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1750413795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 SW 54TH ST STE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745500",
            "telephone_number": "352-854-0700",
            "fax_number": "352-854-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 SW 54TH ST STE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745500",
            "telephone_number": "352-854-0700",
            "fax_number": "352-854-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA WEST FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-854-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "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 Aug 31, 2009; 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.