Active NPI
Joseph Anthony Vidal, MD
- Internal Medicine Physician
- Ocala, FL
National Provider Identifier
1861497943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME35667
- Practice address
- 2403 SE 17TH St
Ste 301
Ocala, FL 34471-2642 - Phone
- (352) 629-8138
- Fax
- (352) 629-7879
- NPI assigned
- Jun 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME35667 | FL | Primary |
Addresses
Primary practice location
2403 SE 17TH St
Ste 301
Ocala, FL 34471-2642
Mailing address
2403 SE 17TH St
Ste 301
Ocala, FL 34471-2642
Phone (352) 629-8138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42141 | Other | FL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME35667 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1861497943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 SE 17TH ST",
"address_2": "STE 301",
"city": "OCALA",
"state": "FL",
"postal_code": "344712642",
"telephone_number": "352-629-8138",
"fax_number": "352-629-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 SE 17TH ST",
"address_2": "STE 301",
"city": "OCALA",
"state": "FL",
"postal_code": "344712642",
"telephone_number": "352-629-8138",
"fax_number": "352-629-7879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDAL",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME35667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "42141",
"state": "FL"
}
],
"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 26, 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.