NPIMap

Organization Active NPI

West Marion Family Practice PA

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1780896316
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEST MARION FAMILY PRACTICE PA
Practice address
8599 SW Highway 200
Ocala, FL 34481-7729
Phone
(352) 861-0043
Fax
(352) 861-8750
NPI assigned
May 4, 2007
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Dr. Carlos E Lara, MDNPI 1265475511
Title
Owner
Phone
(352) 861-0043

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 Physician 207Q00000X NU Primary

Addresses

Primary practice location

8599 SW Highway 200
Ocala, FL 34481-7729

Mailing address

8599 SW Highway 200
Ocala, FL 34481-7729
Phone (352) 861-0043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070605000620 FL Part B Supplier - Clinic/Group Practice 9931207545 Receives reassigned benefits from 9 practitioners
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

2760 SE 17th St
Ste 401
Ocala, FL 34471
Phone (352) 369-8989

8296 SW 103rd Street Rd
Unit 1
Ocala, FL 34481
Phone (352) 861-0043

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1780896316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8599 SW HIGHWAY 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817729",
            "telephone_number": "352-861-0043",
            "fax_number": "352-861-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8599 SW HIGHWAY 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817729",
            "telephone_number": "352-861-0043",
            "fax_number": "352-861-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MARION FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-861-0043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "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 Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.