SOUTHEAST VOLUSIA HEALTHCARE CORPORATION (NPI# 1871977942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871977942 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST VOLUSIA HEALTHCARE CORPORATION |
| Other Organization Name | ADVENTHEALTH NEW SMYRNA BEACH |
| Practice Address |
401 Palmetto St New Smyrna Beach FL 32168-7322 |
| Mailing Address |
770 W Granada Blvd Ste 203 Ormond Beach FL 32174-5179 |
| Practice Telephone | 3864245000 |
| Practice Fax Number | 3864246568 |
| Mailing Telephone | 3862314252 |
| Mailing Fax Number | 3866762560 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | MARK RATHBUN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3864245261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 4054 | FL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL LICENSE | 4054 | 01 |
| FL | 010183400 | 05 |
| Other Name | Type Code |
|---|---|
| AdventHealth New Smyrna Beach | Doing Business As Name - Organization |
| Florida Hospital New Smyrna | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346093 | Southeast Volusia Healthcare Corporation | Internal Medicine | 600 Palmetto St, New Smyrna Beach, FL 32168-7327 | 2016-02-16 |
| Street Address |
401 PALMETTO ST |
| City | NEW SMYRNA BEACH |
| State | FL |
| Zip Code | 32168-7322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944317 | Ian Richard Day | Family Medicine | 401 Palmetto St, New Smyrna Beach, FL 32168-7322 | 2005-07-05 |
| 1992346431 | Kristin Greco | Registered Nurse | 401 Palmetto St, New Smyrna Beach, FL 32168-7322 | 2019-10-07 |
| 1134657323 | Sarah Lower | Nurse Practitioner | 401 Palmetto St, New Smyrna Beach, FL 32168-7322 | 2017-06-01 |
| 1841684735 | Laeeq Ahmed Butt | Internal Medicine | 401 Palmetto St, New Smyrna Beach, FL 32168-7322 | 2015-03-27 |
| 1356594790 | Ackerman Professional Services Pl | Pathology | 401 Palmetto St, New Smyrna Beach, FL 32168-7322 | 2008-10-29 |
| 1205088291 | Jayne Meade | Dietitian, Registered | 401 Palmetto St, New Smyrna Beach, FL 32168-7322 | 2008-10-21 |
| 1518119502 | Pamela Sue Baker | Dietitian, Registered | 401 Palmetto St, New Smyrna Beach, FL 32168-7322 | 2008-10-21 |
| 1366617995 | Emergency Medicine Professionals Pa | Emergency Medicine | 401 Palmetto St, New Smyrna Beach, FL 32168-7322 | 2008-04-24 |
| 1609887603 | New Smyrna Diagnostic Imaging, LLC | Radiology | 401 Palmetto St, New Smyrna Beach, FL 32168-7322 | 2006-08-11 |
| 1043229024 | Dianne Rosenberg | Nurse Anesthetist, Certified Registered | 401 Palmetto St, New Smyrna Beach, FL 32168-7322 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114546504 | Karen Lynn Gray | Occupational Therapist | 125 Memorial Medical Parkway, New Smyrna Beach, FL 32168 | 2020-04-15 |
| 1619500154 | Janelle Wadman | Physical Therapist | 1994 Sr-44, New Smyrna Beach, FL 32168 | 2020-02-12 |
| 1184262354 | Jessica Magers, LLC | Clinic/Center | 136 Julie St., New Smyrna Beach, FL 32168 | 2019-12-18 |
| 1760027171 | Jessica Lyn Magers | Counselor | 136 Julia Street, Unit 100, New Smyrna Beach, FL 32168 | 2019-11-08 |
| 1326453747 | Prc Associates, LLC | Anesthesiology | 501 S. Orange St., New Smyrna Beach, FL 32168 | 2014-06-24 |
| 1265842272 | David Farmer | Chiropractor | 532 Canal Street, New Smyrna Beach, FL 32168 | 2014-04-29 |
| 1184059750 | Fairgreen Assisted Living Inc. | Assisted Living Facility | 1150 Wayne Ave., New Smyrna Beach, FL 32168 | 2013-09-13 |
| 1427393982 | Jami L Peace | Hearing Instrument Specialist | 111 N Orange St, New Smyrna Beach, FL 32168 | 2012-12-10 |
| 1154608149 | Roberta Bornemann | Specialist | 519 Mill Run Drive, New Smyrna, FL 32168 | 2011-11-04 |
| 1023314358 | Scott Asman | Hearing Instrument Specialist | 1958 State Road 44, New Smyrna Beach, FL 32168 | 2011-02-03 |
| Find all providers in zip 32168 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245275734 | Bert Fish Medical Center Inc | General Acute Care Hospital | 401 Palmetto St, New Smyrna Beach, FL 32168-7322 | 2006-06-18 |
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|---|---|---|---|---|
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| 1013534445 | Sarasota Memorial Hospital | General Acute Care Hospital | 2600 Laurel Rd E, North Venice, FL 34275-3226 | 2020-07-01 |
| 1528683257 | Gainesville Vamc | General Acute Care Hospital | 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 | 2020-06-09 |
| 1184246894 | Zbeiro Corp | General Acute Care Hospital | 13952 Sw 52nd Ln, Miami, FL 33175-5166 | 2020-05-15 |
| 1962053728 | Optimum Care Medical Group | General Acute Care Hospital | 10520 Alcon Blue Dr, Riverview, FL 33578-4116 | 2019-09-24 |
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1437652500 | Physicians On Call I Corp | General Acute Care Hospital | 10081 Pines Blvd Ste B, Pembroke Pines, FL 33024-6171 | 2018-03-14 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| 1659803435 | Palmetto General Hosptial | General Acute Care Hospital | 2001 West 68th St, Suite 202, Hialeah, FL 33016 | 2017-03-30 |
| Find all providers with the same taxonomy | ||||
| City | NEW SMYRNA BEACH |
| Zip Code | 32168 |
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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.