Vartan Karakossian (NPI# 1124280565, PAC ID# 8022289131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124280565 |
| PAC ID by PECOS | 8022289131 |
| Professional Enrollment ID | I20110921000798 |
| Full Name | Vartan Karakossian |
| Organization Legal Name | MEMORIAL HEALTH SYSTEMS INC |
| Address |
5535 S Williamson Blvd Suite 700 Port Orange FL 32128-8321 |
| Phone Number | 3862316300 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9739081142 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| 100014 | FLORIDA HOSPITAL NEW SMYRNA |
| 100017 | HALIFAX HEALTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 61 Memorial Medical Pkwy, Suite 1 800a, Palm Coast, FL 32164-5983 | 3865861810 | MEMORIAL HEALTH SYSTEMS INC |
| 5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8321 | 3862316300 | MEMORIAL HEALTH SYSTEMS INC |
| Organization Legal Name | MEMORIAL HEALTH SYSTEMS INC |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelic Alvarez | Family Medicine | Memorial Health Systems Inc | 1050 W Granada Blvd, Suite 2a, Ormond Beach, FL 32174-8155 |
| Sherica A. Shapaka | Nurse Practitioner | Memorial Health Systems Inc | 305 Memorial Medical Pkwy, Suite 308, Daytona Beach, FL 32117-5137 |
| Narges Mazloom | Otolaryngology | Memorial Health Systems Inc | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 |
| Lisa M Gonsalves | Family Medicine | Memorial Health Systems Inc | 5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8321 |
| Luther St James Iii | Family Medicine | Memorial Health Systems Inc | 1890 Lpga Blvd, Suite 170, Daytona Beach, FL 32117-7131 |
| Joshua R Eisenhut | Family Medicine | Memorial Health Systems Inc | 305 Memorial Medical Pkwy, Suite 205, Daytona Beach, FL 32117-5169 |
| Patrick Terry Mangonon | Thoracic Surgery | Memorial Health Systems Inc | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 |
| Christian L Birkedal | General Surgery | Memorial Health Systems Inc | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 |
| Rebecca A Peck | Family Medicine | Memorial Health Systems Inc | 305 Memorial Medical Pkwy, Suite 401, Daytona Beach, FL 32117-5169 |
| Kristine Mcgowan | Nurse Practitioner | Memorial Health Systems Inc | 305 Memorial Medical Pkwy, Suite 502, Daytona Beach, FL 32117-5169 |
| Street Address |
5535 S WILLIAMSON BLVD SUITE 700 |
| City | PORT ORANGE |
| State | FL |
| Zip | 32128-8321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Gonsalves | Family Medicine | Memorial Health Systems Inc | 5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8321 |
| Roger L Zema Jr. | Podiatry | Complete Foot Care Associates | 5535 S Williamson Blvd, Suite 727, Port Orange, FL 32128-8312 |
| Mindy S Taylor | Podiatry | Complete Foot Care Associates | 5535 S Williamson Blvd, Suite 727, Port Orange, FL 32128-8312 |
| Michael E Townsend | Internal Medicine | Memorial Health Systems Inc | 5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8321 |
| Samira Karakossian | Family Medicine | Memorial Health Systems Inc | 5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8321 |
| Mark W Lastarza | Internal Medicine | Memorial Health Systems Inc | 5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8321 |
| Mina B Zahedi | Internal Medicine | Memorial Health Systems Inc | 5535 S Williamson Blvd, Suite 700, Port Orange, FL 32128-8321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirsten R Wilgers | Optometry | Total Vision of Port Orange, Inc. | 5820 S Williamson Blvd, Suite 106, Port Orange, FL 32128-6100 |
| Jason E Iannarelli | Optometry | 1633 Taylor Rd, Suite 104, Port Orange, FL 32128-6754 | |
| John D Lockenour | Chiropractic | 5889 S Williamson Blvd, Suite 212, Port Orange, FL 32128-7134 | |
| Michael A Schwarz | Physician Assistant | 6121 Pheasant Ridge Dr, Port Orange, FL 32128-7513 |
| City | PORT ORANGE |
| Zip Code | 32128 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORT ORANGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Vartan Karakossian.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.