MEMORIAL HEALTH SYSTEMS INC (NPI# 1366559080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366559080 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HEALTH SYSTEMS INC |
| Practice Address |
875 Sterthaus Ave Ormond Beach FL 32174-5131 |
| Mailing Address |
Po Box 730729 Ormond Beach FL 32173-0729 |
| Practice Telephone | 3866714500 |
| Practice Fax Number | 3866729904 |
| Mailing Telephone | 3866714500 |
| Mailing Fax Number | 3866729904 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL GENTRY (CEO) |
| Authorized Official Telephone | 3866766000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275640997 | Memorial Health Systems Inc | Family Medicine | 61 Memorial Medical Pkwy Ste 2811, Palm Coast, FL 32164-5999 | 2006-08-25 |
| 1922115914 | Memorial Health Systems Inc | Radiology | 305 Memorial Medical Pkwy Ste 205, Daytona Beach, FL 32117-5169 | 2006-08-24 |
| 1598860108 | Memorial Health Systems Inc | Rehabilitation Unit | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2006-09-14 |
| 1720195449 | Memorial Health Systems Inc | Internal Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-08-25 |
| 1548377260 | Memorial Health Systems Inc | Family Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-08-25 |
| 1063426823 | Memorial Health Systems Inc | General Acute Care Hospital | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2006-07-28 |
| Street Address |
875 STERTHAUS AVE |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-5131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568456101 | John S Newman | Nurse Anesthetist, Certified Registered | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2005-09-09 |
| 1952538175 | William Vonlubbe Jr. | Nurse Anesthetist, Certified Registered | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2009-06-15 |
| 1225262819 | Meshel S Yany | Anesthesiology | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2009-05-11 |
| 1932362787 | Mukul Garg Md Pa | Specialist | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2008-07-02 |
| 1053593681 | Skeuthaus Inpatient Physicians | Internal Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2007-12-05 |
| 1528252319 | Idaliz Canales-colon | Emergency Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2007-09-05 |
| 1578764759 | Ameer Ajani Wright | Anesthesiology | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2007-05-29 |
| 1659592095 | Susan Haizelden | Nurse Practitioner | 875 Sterthaus Ave, Birth Care Center, Ormond Beach, FL 32174-5131 | 2007-05-02 |
| 1346347762 | Candace Rainelle Raw | Registered Nurse | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-09-20 |
| 1720195449 | Memorial Health Systems Inc | Internal Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756204 | Adventhealth Osceola South Inc | Family Medicine | 305 Clyde Morris Blvd Ste 130, Ormond Beach, FL 32174-8182 | 2020-09-25 |
| 1821568825 | Magdalena Kinga Skowronska | Family Medicine | 8 Mirror Lake Dr Ste A, Ormond Beach, FL 32174-3102 | 2018-12-03 |
| 1548753411 | Adrianna Sung | Family Medicine | 775 W Granada Blvd, Ormond Beach, FL 32174-5109 | 2018-06-14 |
| 1184132888 | Family Practice On The Go of Florida | Family Medicine | 226 N Nova Rd Ste 184, Ormond Beach, FL 32174-5124 | 2018-01-16 |
| 1275983587 | Angelic Alvarez | Family Medicine | 1050 W Granada Blvd Ste 2a, Ormond Beach, FL 32174-8155 | 2016-06-16 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1437563533 | Leslie Delvin Williams | Family Medicine | 1688 W Granada Blvd Ste 2a, Ormond Beach, FL 32174-1818 | 2014-06-17 |
| 1720401359 | Ronald Hinebaugh | Family Medicine | 80 Raintree Ln, Ormond Beach, FL 32174-4291 | 2014-02-03 |
| 1205265659 | There Care, Pa | Family Medicine | 334 Military Blvd, Ormond Beach, FL 32174-6019 | 2013-11-06 |
| 1144656950 | Savitha Kasturi, Do Pa | Family Medicine | 279 S Yonge Street, Ormond Beach, FL 32174 | 2013-09-25 |
| Find all providers in ORMOND BEACH | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
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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.