Individual provider Active NPI

Maryanne L Kolar, D.O.

  • Emergency Medicine Physician
  • Crystal River, FL
National Provider Identifier
1871539379
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS4815 Issued in FL
Practice address
6201 N Suncoast Blvd
Crystal River, FL 34428-6712
Phone
(352) 795-6560
NPI assigned
Jun 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS4815 FL Primary

Addresses

Primary practice location

6201 N Suncoast Blvd
Crystal River, FL 34428-6712

Mailing address

14050 NW 14TH St
Suite 190
Sunrise, FL 33323-2865
Phone (800) 424-3672

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070914000001 FL Practitioner - Emergency MedicinePractitioner - Family Practice 6406768621 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

2897 SE Maricamp Rd
HCA FL Maricamp Fser
Ocala, FL 34471-5589
Phone (352) 421-7500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4815FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Jul 22, 2019 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Jul 22, 2019 Accepting new patients
W4P LLC Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2897 SE Maricamp Rd
Fl Maricamp
Ocala, FL 34471
Phone (352) 421-7500

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

2361 N Semoran Blvd
Orlando, FL 32807
Phone (407) 359-6010

8300 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 359-6007

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

14050 NW 14th St
Ste 190
Sunrise, FL 33323
Phone (954) 424-3672

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871539379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "address_2": "SUITE 190",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "800-424-3672",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 N SUNCOAST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286712",
            "telephone_number": "352-795-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAR",
        "first_name": "MARYANNE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS4815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

Verify at the official NPI Registry.