Active NPI
Richard E. Promin, MD.PA
- Family Medicine Physician
- Ocala, FL
National Provider Identifier
1972834729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME10123
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047439800 | Medicaid | FL |
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.