Express Primary Care of Ocala

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EXPRESS PRIMARY CARE OF OCALA

Practice address

1834 SW 1St Ave Ste 201
Ocala, FL 34471-8102

Phone

(352) 732-9888

Fax

(352) 732-0490

NPI assigned

Jan 2, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Gordon M Johnson, APRN

Title

Owner

Phone

(352) 732-9888

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1891565826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 SW 1ST AVE STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718102",
            "telephone_number": "352-732-9888",
            "fax_number": "352-732-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 SW 1ST AVE STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718102",
            "telephone_number": "352-732-9888",
            "fax_number": "352-732-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS PRIMARY CARE OF OCALA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-732-9888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.