Active NPI
Samuel E Myrick III, MD
- Internal Medicine Physician
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME90579
- Practice address
- 3130 SW 32ND Ave
Ocala, FL 34474-4445 - Phone
- (352) 732-4032
- Fax
- (352) 732-4191
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | ME90579 | FL | |
| Internal Medicine Physician | 207R00000X | ME90579 | FL | Primary |
Addresses
Primary practice location
3130 SW 32ND Ave
Ocala, FL 34474-4445
Mailing address
3130 SW 32ND Ave
Ocala, FL 34474-4445
Phone (352) 732-4032
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274398100 | Medicaid | FL | |
| 522939661A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- University of Florida College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378
3130 SW 32ND Ave
Ocala, FL 34474-4445
Phone (352) 732-4032
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocala Oncology Center PL | Internal Medicine | Current | Accepting new patients |
| Ocala Oncology Center, PL | Current | Accepting new patients | |
| Regional Consultants in Hematology Oncology, Inc. | Past | Accepting new patients |
Locations
13940 N US Highway 441
Ste 203
Lady Lake, FL 32159
Phone (352) 259-8940
433 SW 10th St
Ocala, FL 34471
Phone (352) 436-4545
3130 SW 32nd Ave
Ocala, FL 34474
Phone (352) 732-4032
9401 SW Highway 200
Ste 702
Ocala, FL 34481
Phone (352) 861-6633
6350 Center Dr
Ste 200
Norfolk, VA 23502
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- sam.myrick@fca.ikm.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Florida Cancer Affiliates Ocala, Tampa Bay, North Florida
- Hematology & Oncology Physician
- Ocala, FL
- NPI 1356300958
Internal Medicine
-
dba Florida Cancer Affiliates
- Community/Retail Pharmacy
- Ocala, FL
- NPI 1093206039
-
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1447247762
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advent Health Ocala
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
-
dba HCA Florida Ocala Hospital
- General Acute Care Hospital
- Ocala, FL
- NPI 1841237930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1831180546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 SW 32ND AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344744445",
"telephone_number": "352-732-4032",
"fax_number": "352-732-4191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 SW 32ND AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344744445",
"telephone_number": "352-732-4032",
"fax_number": "352-732-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYRICK",
"first_name": "SAMUEL",
"middle_name": "E",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME90579",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME90579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274398100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "522939661A",
"state": "GA"
}
],
"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 Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.