MEDICAL MANAGEMENT OF OCALA INC (NPI# 1861651259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861651259 |
| Entity Type | Organization |
| Organization Name | MEDICAL MANAGEMENT OF OCALA INC |
| Practice Address |
2120 Sw 22nd Pl Ocala FL 34471-7765 |
| Practice Telephone | 3527325042 |
| Practice Fax Number | 3527326031 |
| Mailing Telephone | 3527325042 |
| Mailing Fax Number | 3527326031 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | CHRISTOPHER E. BALD (PRESIDENT) |
| Authorized Official Telephone | 3527325042 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians |
| Street Address |
2120 SW 22ND PL |
| City | OCALA |
| State | FL |
| Zip Code | 34471-7765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076252 | Charles W Grayson | Otolaryngology | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2005-07-08 |
| 1710431127 | Allison Kristine Mcmichael | Audiologist | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2016-08-15 |
| 1093169864 | Medical Management of Ocala | Nurse Practitioner | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2016-04-19 |
| 1508221664 | Leigh Steinberg | Audiologist | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2015-12-16 |
| 1245624683 | Stephen Reynolds | Otolaryngology | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2015-03-24 |
| 1831404599 | Jose Luis Jiron Jr. | Otolaryngology | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2010-08-18 |
| 1063667541 | Christopher John Schmidt | Otolaryngology | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2008-11-25 |
| 1235340704 | Martha L Mackay | Registered Nurse | 2120 Sw 22nd Pl, Ocala, FL 34474-7065 | 2007-05-25 |
| 1740376250 | Jose C. Mercado | Physician Assistant | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2006-10-04 |
| 1952398976 | Christopher E. Bald | Otolaryngology | 2120 Sw 22nd Pl, Ocala, FL 34471-7765 | 2005-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
| 1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
| 1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
| 1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
| 1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
| 1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
| 1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
| 1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
| 1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
| 1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
| Find all providers in zip 34471 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032006 | Rangaswamy Asokan | Otolaryngology | 2651 Sw 32nd Pl, Ocala, FL 34471 | 2005-06-09 |
| 1851818686 | Accent Physician Specialists, P.a. | Otolaryngology | 3304 Sw 34th Cir Ste 103, Ocala, FL 34474-3357 | 2017-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317479 | Ent Associates Pa | Otolaryngology | 3390 Tamiami Trl Ste 201-202, Port Charlotte, FL 33952-8157 | 2019-10-13 |
| 1679878615 | Herbert Kean | Otolaryngology | 799 Crandon Blvd, Apt 1407, Key Biscayne, FL 33149 | 2011-01-24 |
| 1881784841 | Scott Jeffery Trimas | Otolaryngology | 1361 13th Ave South, Ste 125, Jacksonville, FL 32250 | 2006-10-13 |
| 1720527021 | Randall P Weyrich Md LLC | Otolaryngology | 6602 Seabird Way, Apollo Beach, FL 33572-3003 | 2017-02-20 |
| 1326416413 | Edward H. Farrior, Md, Pa | Otolaryngology | 2908 W Azeele St, Tampa, FL 33609-3110 | 2015-09-08 |
| 1528442332 | Genesiscare of Florida LLC | Otolaryngology | 4571 Colonial Blvd, Suite 210, Fort Myers, FL 33966-1156 | 2015-07-13 |
| 1225448921 | The Palm Beach Center for Facial Plastic & Laser Surgery, P.a. | Otolaryngology | 4495 Military Trl Ste 202, Jupiter, FL 33458 | 2014-05-02 |
| 1801219944 | Edward J. Gross, M.d., P.l. | Otolaryngology | 1035 Primera Blvd, Lake Mary, FL 32746-2193 | 2014-01-25 |
| 1205175635 | Barnett Facial Plastic & Reconstructive Surgery, Pa. | Otolaryngology | 1032 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6661 | 2013-02-05 |
| 1437417599 | James Azzi | Otolaryngology | 4495 Military Trl Ste 202, Jupiter, FL 33458 | 2012-04-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.