Organization Active NPI

Ocala Neurosurgical Center PA

Doing business as Ocala Neurosurgical center

  • Neurological Surgery Physician
  • Ocala, FL
National Provider Identifier
1891876165
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
OCALA NEUROSURGICAL CENTER PA
Doing business as
Ocala Neurosurgical center
Practice address
1901 SE 18TH Ave
Suite 101
Ocala, FL 34471-8215
Phone
(352) 622-3360
Fax
(352) 629-4512
NPI assigned
Oct 17, 2006
Last updated
Aug 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Kelly Surrency
Title
Administrator
Phone
(352) 622-3360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1901 SE 18TH Ave
Suite 101
Ocala, FL 34471-8215

Mailing address

1901 SE 18TH Ave Ste 101
Ocala, FL 34471-8211
Phone (352) 622-3360

Other identifiers 1

IdentifierTypeStateIssuer
161589500MedicaidFL

Other names 1

  • Ocala Neurosurgical center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.ocalaneurosurgeons.com Direct

National Provider Directory

National Provider Directory

Locations

771 Highway 466
#771
Lady Lake, FL 32159
Phone (352) 622-3360

1105 SW 1st Ave
Ocala, FL 34471
Phone (352) 622-3360

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1891876165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SE 18TH AVE STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718211",
            "telephone_number": "352-622-3360",
            "fax_number": "352-629-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SE 18TH AVE",
            "address_2": "SUITE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718215",
            "telephone_number": "352-622-3360",
            "fax_number": "352-629-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCALA NEUROSURGICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "SURRENCY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-622-3360"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161589500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ocalaneurosurgeons.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1901 SE 18th Ave",
            "address_2": "SUITE 101",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344718215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ocala Neurosurgical center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 26, 2020; 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.