OCALA ONCOLOGY CENTER PL (NPI# 1356300958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356300958 |
| Entity Type | Organization |
| Organization Name | OCALA ONCOLOGY CENTER PL |
| Other Organization Name | FLORIDA CANCER AFFILIATES OCALA, TAMPA BAY, NORTH FLORIDA |
| Practice Address |
3130 Sw 32nd Ave Ocala FL 34474-4445 |
| Mailing Address |
6350 Center Dr Ste 200 Norfolk VA 23502-4107 |
| Practice Telephone | 3527324032 |
| Practice Fax Number | 3527324191 |
| Mailing Telephone | 7572135700 |
| Mailing Fax Number | 7572315701 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | DR. RAMA BALARAMAN (PRACTICE PRESIDENT) |
| Authorized Official Telephone | 3527324032 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265199800 | 05 | |
| FL | BLUESHIELD GROUP NUMBER | 34283 | 01 |
| FL | RAILROAD GROUP NUMBER | DP5758 | 01 |
| Other Name | Type Code |
|---|---|
| Florida Cancer Affiliates Ocala, Tampa Bay, North Florida | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093948556 | Ocala Oncology Center Pl | Internal Medicine | 13940 Us Hwy 441 N., Suite 203, Lady Lake, FL 32159-8909 | 2009-09-01 |
| 1487052171 | Ocala Oncology Center Pl | Radiology | 2100 State Ave, Panama City, FL 32405-4587 | 2014-12-11 |
| 1538575410 | Ocala Oncology Center Pl | Internal Medicine | 8140 College Pkwy, Suite 101, Fort Myers, FL 33919-5188 | 2014-07-11 |
| 1396163473 | Ocala Oncology Center Pl | Internal Medicine | 11181 Health Park Blvd, Suite 1180, Naples, FL 34110-5738 | 2014-04-04 |
| 1861818585 | Ocala Oncology Center Pl | Internal Medicine | 13733 Office Park Ct, Suite B, Hudson, FL 34667-7144 | 2014-03-06 |
| 1598186629 | Ocala Oncology Center Pl | Radiology | 14535 Cortez Blvd, Brooksville, FL 34613-6065 | 2013-12-16 |
| 1558782714 | Ocala Oncology Center Pl | Radiology | 13904 Lakeshore Blvd, Suite 410, Hudson, FL 34667-1481 | 2013-12-13 |
| 1265853402 | Ocala Oncology Center Pl | Urology | 11373 Cortez Blvd, Suite 405, Brooksville, FL 34613-5406 | 2013-12-13 |
| 1467873638 | Ocala Oncology Center Pl | Urology | 11373 Cortez Blvd, Suite 209, Brooksville, FL 34613-5414 | 2013-12-13 |
| 1285055442 | Ocala Oncology Center Pl | Pathology | 12900 Cortez Blvd, Suite 101, Brooksville, FL 34613-6828 | 2013-12-13 |
| Street Address |
3130 SW 32ND AVE |
| City | OCALA |
| State | FL |
| Zip Code | 34474-4445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093206039 | Ocala Oncology Center, Pl | Pharmacy | 3130 Sw 32nd Ave, Ocala, FL 34474 | 2018-05-25 |
| 1497195093 | Molly Oshaughnessey Johnson | Optometrist | 3130 Sw 32nd Ave, Ocala, FL 34474-4445 | 2013-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125167 | Hailey Roberts | Behavior Technician | 2202 Sw 20th Pl #302, Ocala, FL 34474 | 2019-07-03 |
| 1912560632 | La-sheria R Mcleod | Licensed Practical Nurse | 3240 Sw 34th St Apt 908, Ocala, FL 34474 | 2019-04-18 |
| 1043700792 | Clinical Positron Emission Tomography LLC | Clinic/Center | 3233 Sw 33rd Rd Ste 301, Ocala, FL 34474 | 2018-05-17 |
| 1861981896 | The Orthopaedic Institute, Pa | Emergency Medicine | 4600 Sw 46th Ct Ste 220, Ocala, FL 34474 | 2018-05-04 |
| 1790273738 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 3221 Sw 33rd Road, Suite 100, Ocala, FL 34474 | 2018-04-25 |
| 1841703337 | Stephanie E Nunes | Nurse Practitioner | 3131 Sw College Rd Ste 405, Ocala, FL 34474 | 2017-11-07 |
| 1316457013 | Holli Dobson Molina | Nurse Practitioner | 5200 Sw 31st St, Ocala, FL 34474 | 2017-10-07 |
| 1063964690 | Mary Aguilar | Specialist/Technologist, Other | 4900 Sw 46th Ct Apto 1406, Ocala, FL 34474 | 2016-10-31 |
| 1649725326 | Colby Beck | Physician Assistant | 3210 Sw 33rd Rd Ste 101, Ocala, FL 34474 | 2016-08-23 |
| 1881053031 | Jeanette M Hall | Pharmacist | 3130 Sw 32nd Ave., Ocala, FL 34474 | 2016-02-16 |
| Find all providers in zip 34474 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457396608 | Ravi K Koti | Internal Medicine | 2494 Sw 19th Avenue Rd, Ocala, FL 34471-7859 | 2006-06-19 |
| 1235199878 | Craig Harry Reynolds | Internal Medicine | 1630 Se 18th St, Bldg 600. Ste 602, Ocala, FL 34471-5472 | 2006-03-27 |
| 1043203888 | Anju Vasudevan | Internal Medicine | 433 Sw 10th St, Ocala, FL 34471-0209 | 2005-08-26 |
| 1124544531 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 4945 Sw 49th Pl, Ocala, FL 34474-9673 | 2017-08-17 |
| 1124300983 | Central Florida Cancer & Blood Center Pa | Internal Medicine | 2494 Sw 19th Avenue Rd, Ocala, FL 34471-7859 | 2011-09-16 |
| 1750573069 | Ketan D. Doshi | Internal Medicine | 433 Sw 10th St, Ocala, FL 34471-0209 | 2007-08-10 |
| 1952417370 | Ocala Cancer Institute P A | Internal Medicine | 2820 Se 3rd Ct, Suite 200, Ocala, FL 34471 | 2006-08-21 |
| 1285644708 | Daniel A Patterson | Internal Medicine | 321 Se 29th Pl, Ste 102, Ocala, FL 34471-0488 | 2006-08-08 |
| 1396709424 | Rama Balaraman | Internal Medicine | 433 Sw 10th St, Ocala, FL 34471-0209 | 2006-04-14 |
| 1457310054 | Maury Bruce Berger | Internal Medicine | 433 Sw 10th St, Ocala, FL 34471-0209 | 2006-03-22 |
| Find all providers in OCALA | ||||
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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.