Active NPI
Samantha Eileen Kwon, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME96761
- Practice address
- 1500 SW 1St Ave
Ocala, FL 34471-6504 - Phone
- (352) 369-0288
- Fax
- (352) 867-1053
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 39047 | SC | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME96761 | FL | Primary |
Addresses
Primary practice location
1500 SW 1St Ave
Ocala, FL 34471-6504
Mailing address
1500 SW 1St Ave
Ocala, FL 34471-6504
Phone (352) 369-0288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891802526 | Medicaid | NC |
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
- Cardiac Surgery
- Education
- University of Florida College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1720 SE 16TH Ave
Suite 303
Ocala, FL 34471-4620
Phone (352) 369-0288
Hospital & facility affiliations
- Munroe Regional Homecare LLC
- Centerwell Home Health
- Adventhealth Ocala
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 32 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Current | Accepting new patients | |
| Stuart Cardiovascular Anesthesia Associates PLLC | Past | Accepting new patients | |
| Stuart Cardiovascular Associates, PLLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
1219 S Pine Ave
Ste 201
Ocala, FL 34471
Phone (352) 415-9026
1720 SE 16th Ave
Ste 303
Ocala, FL 34471
Phone (352) 368-1661
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- skwon73357@adventhealth.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 and National Provider Directory roles.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Anesthesiology Physician
- Stuart, FL
- NPI 1366487878
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Stuart, FL
- NPI 1003851502
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ocala, FL
- NPI 1841229515
-
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
-
- Home Health Agency
- Ocala, FL
- NPI 1316072887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517875200000",
"number": "1891802526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SW 1ST AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344716504",
"telephone_number": "352-369-0288",
"fax_number": "352-867-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SW 1ST AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344716504",
"telephone_number": "352-369-0288",
"fax_number": "352-867-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWON",
"first_name": "SAMANTHA",
"middle_name": "EILEEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2018-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "SC",
"license": "39047",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME96761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891802526",
"state": "NC"
}
],
"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 6, 2018; 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.