SOUTHEASTERN INTEGRATED MEDICAL PL (NPI# 1912146853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912146853 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN INTEGRATED MEDICAL PL |
| Practice Address |
3304 Sw 34th Cir Ocala FL 34474-3358 |
| Mailing Address |
4881 Nw 8th Avenue Ste 2 Gainesville FL 32605-4582 |
| Practice Telephone | 3527324438 |
| Practice Fax Number | 3522910231 |
| Mailing Telephone | 3523736338 |
| Mailing Fax Number | 3523736144 |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |
| Authorized Official Name | MR. JESSE C BRANNEN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3522242200 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEASTERN INTEGRATED MEDICAL PL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 058586600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255762928 | Southeastern Integrated Medical Pl | Physical Medicine & Rehabilitation | 3305 Sw 34th Cir, Suite 101, Ocala, FL 34474-6616 | 2013-12-06 |
| 1720419484 | Southeastern Integrated Medical Pl | Physical Medicine & Rehabilitation | 1315 Nw 21st Ave, Suite 2, Chiefland, FL 32626-1977 | 2013-12-06 |
| 1093970162 | Southeastern Integrated Medical Pl | Counselor | 4881 Nw 8th Ave, Suite 2, Gainesville, FL 32605-4582 | 2008-07-28 |
| 1871573949 | Southeastern Integrated Medical Pl | Allergy & Immunology | 4343 W Newberry Rd, Gainesville, FL 32607-2817 | 2006-01-17 |
| Street Address |
3304 SW 34TH CIR |
| City | OCALA |
| State | FL |
| Zip Code | 34474-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932191541 | Thomas Edward Lafferty | Specialist | 3304 Sw 34th Cir, Suite 103, Ocala, FL 34474-3358 | 2005-08-19 |
| 1851688295 | Jenny Chen | Family Medicine | 3304 Sw 34th Cir, Suite 101, Ocala, FL 34474-3358 | 2011-07-06 |
| 1326363193 | Trudy Marlene Simpson | Nurse Practitioner | 3304 Sw 34th Cir, Suite 103, Ocala, FL 34474-3358 | 2010-04-05 |
| 1124210067 | Stephanie Fernice Ingram | Internal Medicine | 3304 Sw 34th Cir, Suite 103, Ocala, FL 34474-3358 | 2007-08-14 |
| 1902010945 | Raul Diaz | Internal Medicine | 3304 Sw 34th Cir, Suite 101, Ocala, FL 34474-3358 | 2007-05-09 |
| 1093742959 | Michael K Riley M D P A | Specialist | 3304 Sw 34th Cir, Suite 104, Ocala, FL 34474-3358 | 2006-06-27 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023373404 | Clinical Pet of Ocala, LLC | Radiology | 419 Sw 15th St, Suite 200, Ocala, FL 34471 | 2012-07-11 |
| 1427176908 | Jaime L Abesada | Radiology | 1490 Se Magnolia Ave, Ocala, FL 37741-0000 | 2007-03-26 |
| 1275572919 | Abner M Landry IIi | Radiology | 1714 Sw 17th St Ste 300, Ocala, FL 34471-1227 | 2006-06-06 |
| 1144291386 | Luis A Jimenez | Radiology | 6035 Sw 54th St, Suite 101, Ocala, FL 34474-5519 | 2006-01-27 |
| 1669460473 | Timberridge Imaging Center | Radiology | 9521 Sw Highway 200, Ocala, FL 34481-7719 | 2005-10-06 |
| 1760475230 | Clinical Pet of Ocala LLC | Radiology | 3143 Sw 32nd Ave, Suite 100, Ocala, FL 34474-4446 | 2005-08-30 |
| 1700392388 | Diagnostic Outpatient Centers of Ocala Inc | Radiology | 1030 Se 17th St, Ocala, FL 34471-3912 | 2017-12-19 |
| 1952763971 | Radiology Imaging Specialists LLC | Radiology | 1714 Sw 17th St Ste 300, Ocala, FL 34471-1223 | 2016-03-29 |
| 1033478037 | Janet Rachel Terlouw | Radiology | 1490 Se Magnolia Ext, Ocala, FL 34471-4443 | 2012-05-10 |
| 1023318060 | Ocala Health Imaging Services LLC | Radiology | 2300 Se 17th St, Bldg 800, Ocala, FL 34471-9107 | 2010-10-25 |
| 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.