MEMORIAL HEALTH SYSTEMS INC (NPI# 1720195449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720195449 |
| 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 | DARYL TOL (COO) |
| Authorized Official Telephone | 3866736006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| X | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| X | 207X00000X | Orthopaedic Surgery | 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 |
| 1548377260 | Memorial Health Systems Inc | Family Medicine | 875 Sterthaus Ave, Ormond Beach, FL 32174-5131 | 2006-08-25 |
| 1366559080 | 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 |
| 1548377260 | Memorial Health Systems Inc | Family 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003163320 | Dr. Donald J Fornace Do Facc Inc | Internal Medicine | 1184 Ocean Shore Blvd, Ormond Beach, FL 32176-3760 | 2012-08-06 |
| 1821012113 | Taher Khalil | Internal Medicine | 1425 Hand Ave, Suite K, Ormond Beach, FL 32174-1135 | 2006-07-27 |
| 1902829393 | Taher Khalil M D P A | Internal Medicine | 1425 Hand Ave, Suite K, Ormond Beach, FL 32174-1135 | 2006-07-26 |
| 1669494480 | Donald Joseph Fornace | Internal Medicine | 1400 Hand Ave, Suite H, Ormond Beach, FL 32174-8194 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765443 | Premier Cardiovascular Center, LLC | Internal Medicine | 450 W State Road 434 Ste 2010, Longwood, FL 32750-5187 | 2020-09-16 |
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1972123701 | Heart Clinic of Central Florida LLC | Internal Medicine | 52 Riley Rd # 429, Celebration, FL 34747-5420 | 2020-04-22 |
| 1205465440 | Cardiology Group Panel LLC | Internal Medicine | 201 Nw 82nd Ave Ste 405, Plantation, FL 33324-1883 | 2020-04-08 |
| 1346876745 | H & D Cardiology, Pa | Internal Medicine | 1879 Nightingale Ln Ste B2, Tavares, FL 32778-4363 | 2020-03-17 |
| 1427690775 | The Cardiac and Vascular Institute Ambulatory Surgery Center | Internal Medicine | 4645 Nw 8th Ave Ste 10, Gainesville, FL 32605-4688 | 2019-10-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1023660255 | Florida Medical Specialists LLC | Internal Medicine | 1250 S Tamiami Trl Ste 300, Sarasota, FL 34239-2221 | 2019-07-09 |
| 1962064493 | Ckk Medical LLC | Internal Medicine | 6600 Sw State Road 200 # 200, Ocala, FL 34476-5554 | 2019-07-04 |
| 1952968026 | Jose Miguel Simo | Internal Medicine | 3347 S State Road 7 Ste 205, Wellington, FL 33449-8148 | 2019-05-23 |
| Find all providers with the same taxonomy | ||||
| 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.