NPIMap

Organization Active NPI

Concierge Bariatrics

  • Surgery Physician
  • Ocala, FL
National Provider Identifier
1982016267
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME112612 Issued in FL
Legal business name
CONCIERGE BARIATRICS
Practice address
1630 SE 18TH St
Unit 103
Ocala, FL 34471-5471
Phone
(352) 236-5809
Fax
(352) 236-5461
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Dr. Reginald Griffin, MDNPI 1356544282
Title
President
Phone
(352) 236-5809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME112612 FL Primary

Addresses

Primary practice location

1630 SE 18TH St
Unit 103
Ocala, FL 34471-5471

Mailing address

1630 SE 18TH St
Unit 103
Ocala, FL 34471-5471
Phone (352) 236-5809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140730000041 FL Part B Supplier - Clinic/Group Practice 6901022870 Receives reassigned benefits from 2 practitioners
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

2100 SE 17th St
Ste 901
Ocala, FL 34471
Phone (352) 229-2308

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1982016267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 SE 18TH ST",
            "address_2": "UNIT 103",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715471",
            "telephone_number": "352-236-5809",
            "fax_number": "352-236-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 SE 18TH ST",
            "address_2": "UNIT 103",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715471",
            "telephone_number": "352-236-5809",
            "fax_number": "352-236-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE BARIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-236-5809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME112612",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.