Healthcare Provider Details

I. General information

NPI: 1962605550
Provider Name (Legal Business Name): JAMES PATRICK MCFADDEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2007
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SE MAGNOLIA EXT STE 104
OCALA FL
34471-4452
US

IV. Provider business mailing address

1500 SE MAGNOLIA EXT STE 104
OCALA FL
34471-4452
US

V. Phone/Fax

Practice location:
  • Phone: 712-363-5224
  • Fax: 352-580-3166
Mailing address:
  • Phone: 712-363-5224
  • Fax: 352-580-3166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME106526
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number125049733
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: