Organization Active NPI

Richard E. Promin, MD.PA

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1972834729
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME10123 Issued in FL
Legal business name
RICHARD E. PROMIN, MD.PA
Practice address
3301 SW 34TH Cir Ste 301
Ocala, FL 34474-6615
Phone
(352) 629-0181
Fax
(352) 629-0587
NPI assigned
Jan 19, 2010
Organization subpart
Yes
Parent organization
RICHARD E. PROMIN ,M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Dr. Richard E Promin, M.D.
Title
President
Phone
(352) 629-0181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME10123 FL Primary

Addresses

Primary practice location

3301 SW 34TH Cir Ste 301
Ocala, FL 34474-6615

Mailing address

3301 SW 34TH Cir Ste 301
Ocala, FL 34474-6615
Phone (352) 629-0181

Other identifiers 1

IdentifierTypeStateIssuer
047439800MedicaidFL

National Provider Directory

National Provider Directory
Part of
Richard E Promin Mdpa

Locations

3301 SW 34th Cir
Ste 301
Ocala, FL 34474
Phone (352) 236-7040

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1972834729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SW 34TH CIR STE 301",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344746615",
            "telephone_number": "352-629-0181",
            "fax_number": "352-629-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SW 34TH CIR STE 301",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344746615",
            "telephone_number": "352-629-0181",
            "fax_number": "352-629-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E. PROMIN, MD.PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD E. PROMIN ,M.D.",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "PROMIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-629-0181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME10123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047439800",
            "state": "FL"
        }
    ],
    "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 Jan 19, 2010; 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.