Individual provider Active NPI

Gary Chee Seng Oh, BSC. M.D. DIPABLM

  • Family Medicine Physician
  • Cocoa, FL
National Provider Identifier
1952927998
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME159136 Issued in FL
Practice address
5005 Port St John Pkwy
Cocoa, FL 32927-4305
Phone
(321) 633-8640
Fax
(321) 633-8641
NPI assigned
Jun 24, 2020
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME159136 FL Primary

Addresses

Primary practice location

5005 Port St John Pkwy
Cocoa, FL 32927-4305

Mailing address

5005 Port St John Pkwy
Cocoa, FL 32927-4305
Phone (321) 633-8640

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
I20240131001918 FL Practitioner - Family Practice 0244659258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

490 N Washington Ave
Titusville, FL 32796-2871
Phone (321) 268-6831

5005 Port St John Pkwy
Port St John, FL 32927-4305

951 N Washington Ave
Titusville, FL 32796-2163
Phone (321) 268-6834

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME159136FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Brevard Medical Support, Inc CurrentSince Dec 30, 2023 Accepting new patients
The Wright Center Medical Group Family Medicine PastSince Feb 24, 2022 Accepting new patients

Locations

390 Challenger Rd
Port Canaveral, FL 32920
Phone (321) 633-8640

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Interoperability endpoints

  • Direct secure messaging: gary.oh.1@17832.direct.athenahealth.com

Organizations & group practices 2

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1952927998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 PORT ST JOHN PKWY",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329274305",
            "telephone_number": "321-633-8640",
            "fax_number": "321-633-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PORT ST JOHN PKWY",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329274305",
            "telephone_number": "321-633-8640",
            "fax_number": "321-633-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "GARY",
        "middle_name": "CHEE SENG",
        "name_prefix": "Dr.",
        "credential": "BSC. M.D. DIPABLM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME159136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

Verify at the official NPI Registry.