Destiny Medical Associates, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

70676 Issued in FL

Legal business name

DESTINY MEDICAL ASSOCIATES, INC.

Practice address

150 SE 17TH St
Suite 801
Ocala, FL 34471-5178

Phone

(352) 622-4888

Fax

(352) 694-4884

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Aziegbemi Oibo, M.DNPI 1598744674

Title

Medical Director

Phone

(352) 622-4888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBEBDA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph A Oibo, MD

  • Internal Medicine Physician
  • Ocala, FL
  • NPI 1598744674
  Medicare reassignment NPD Authorized official
• Mercy Oibo

  • Mental Health Counselor
  • Ocala, FL
  • NPI 1669480638
  NPD

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922041193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344780036",
            "telephone_number": "352-622-4888",
            "fax_number": "352-694-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SE 17TH ST",
            "address_2": "SUITE 801",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715178",
            "telephone_number": "352-622-4888",
            "fax_number": "352-694-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OIBO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "AZIEGBEMI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-622-4888",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "70676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Desmarais Jr., PMHNP-BC
• Freddy Cyriaque Desormeaux, M.D.
• Jared A Destackelberg, PA
• Jasmine Destefano
• Destiny Adult & Children Counseling Ctr
• Olritch Desulme, FNP-BC
• Reddy Mallikarjuna Devarapalli, M.D.
• Melissa Kim Devaughn, FNP-BC
• Developmental Service Trainers, Inc
• Melesa Devine

• 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.