Organization Active NPI

Alfredo Jacome MD PA

  • Medical Specialty Clinic/Center
  • Ocala, FL
National Provider Identifier
1821436486
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0070292 Issued in FL
Legal business name
ALFREDO JACOME MD PA
Practice address
2121 SW 22ND PL
Ocala, FL 34471-7766
Phone
(352) 861-5333
Fax
(352) 861-5334
NPI assigned
Jun 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Mrs. Janet Barstow
Title
Practice Administrator
Phone
(352) 861-4633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0070292 FL Primary

Addresses

Primary practice location

2121 SW 22ND PL
Ocala, FL 34471-7766

Mailing address

2121 SW 22ND PL
Ocala, FL 34471-7766
Phone (352) 861-5333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130624000246 FL Part B Supplier - Clinic/Group Practice 6103065164 Receives reassigned benefits from 1 practitioner
Practice locations: Ocala, FL; Summerfield, FL

National Provider Directory

National Provider Directory

Locations

2121 SW 22nd Pl
Ocala, FL 34471
Phone (352) 237-4133

16065 S US Highway 441
#101
Summerfield, FL 34491
Phone (352) 861-5333

16065 S US Highway 441
Ste 101
Summerfield, FL 34491
Phone (352) 861-5333

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": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1821436486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 SW 22ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717766",
            "telephone_number": "352-861-5333",
            "fax_number": "352-861-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SW 22ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717766",
            "telephone_number": "352-861-5333",
            "fax_number": "352-861-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFREDO JACOME MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "BARSTOW",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "352-861-4633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "0070292",
            "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 Jun 5, 2013; 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.