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COUNTRYSIDE MEDICAL PA
NPI 1275610362
Internal Medicine in Ocala, FL

Active since November 01, 2006CLIA 10D0942818 · Accreditation
7860 SW 103RD STREET RD, BLDG 100 SUITE 101, OCALA, FL 34476(352) 873-4458(352) 873-8116 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Countryside Medical Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRYSIDE MEDICAL PA (NPI 1275610362) is a healthcare organization registered as an internal medicine in Ocala, Florida and active in the NPI registry since November 2006. The organization holds an CLIA Accreditation certificate valid through September 8, 2027 and lists Kenneth Baruch Lee, Owner President, as its authorized official.

NPPES Registry Identity

NPI1275610362
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOUNTRYSIDE MEDICAL PA
Location Address7860 SW 103RD STREET RD, BLDG 100 SUITE 101Ocala, FL 34476-8623
Mailing AddressPo Box 770719Ocala, FL 34477-0719 · (352) 873-4458 · Fax (352) 873-8116
Phone(352) 873-4458
Fax(352) 873-8116
Organization SubpartNo
Authorized OfficialKenneth Baruch LeeOwner President · (352) 873-4458
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 1, 2023
NPPES CertifiedSeptember 1, 2023
✔ NPI 1275610362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7860 SW 103RD STREET RD, Ocala, FL 34476
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Other Identifiers 1

OtherCG9421Rr Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D0942818

Countryside Medical · Ocala, FL
Active · expires Sep 8, 2027
CLIA Number10D0942818
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorKenneth B. Lee
Laboratory Phone(352) 873-4458
Laboratory LocationCountryside Medical7860 SW 103rd Street Rd Bldg 100 Ste 101, Ocala, FL 34476
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH BARUCH LEE DO
Family Medicine
7860 SW 103RD STREET RD, BLDG 100 SUITE 101
OCALA, FL 34476
Marion County (352) 873-4458
HEIDI NICOLE ECK APRN
Nurse Practitioner (Adult Health)
7860 SW 103RD STREET RD
OCALA, FL 34476
Marion County (352) 873-4458
ALAN LEE MOSTOV DO
Family Medicine
7860 SW 103RD STREET RD, BLDG 100 SUITE 101
OCALA, FL 34476
Marion County (352) 873-4458
THOMAS A CULPEPPER FNP
Nurse Practitioner (Family)
7860 SW 103RD STREET RD
OCALA, FL 34476
Marion County (352) 873-4458
LISA ANNE EGAN PT
Physical Therapist
7860 SW 103RD STREET RD
OCALA, FL 34476
Marion County (352) 854-3424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Countryside Medical PA's NPI number?

The NPI number for Countryside Medical PA is 1275610362. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Countryside Medical PA located?

Countryside Medical PA is located at 7860 SW 103rd Street Rd Bldg 100 Suite 101, Ocala, FL 34476. The listed phone number is (352) 873-4458.

What is Countryside Medical PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Countryside Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D0942818) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Countryside Medical PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Countryside Medical PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Countryside Medical PA was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.