Volusia Hand Surgery Clinic PA

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

Legal business name

VOLUSIA HAND SURGERY CLINIC PA

Practice address

3635 S Clyde Morris Blvd
Suite 900
Port Orange, FL 32129-2300

Phone

(386) 788-4263

Fax

(386) 788-0679

NPI assigned

Jul 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamara Ray Clancy, MD

Title

MD

Phone

(386) 788-4263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HICBCA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Srikanth Eathiraju

  • Orthopaedic Hand Surgery Physician
  • Port Orange, FL
  • NPI 1841596327
  Medicare reassignment Care Compare group NPD
• Sarah E Henry, MD

  • Orthopaedic Surgery Physician
  • Orlando, FL
  • NPI 1265693568

  Hand Surgery

  Medicare reassignment Care Compare group NPD
• Louis Charles Blaum III, MD

  • Surgery of the Hand (Surgery) Physician
  • New Smyrna Beach, FL
  • NPI 1801846373

  Single Specialty

  NPD (past)
• Jason Jon Marshall, M.D.

  • Specialist
  • Pensacola, FL
  • NPI 1407855505
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1013936087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 S CLYDE MORRIS BLVD",
            "address_2": "SUITE 900",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292300",
            "telephone_number": "386-788-4263",
            "fax_number": "386-788-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 S CLYDE MORRIS BLVD",
            "address_2": "SUITE 900",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292300",
            "telephone_number": "386-788-4263",
            "fax_number": "386-788-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUSIA HAND SURGERY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "CLANCY",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "386-788-4263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Vogler
• Cindy W Vola, OT
• Thomas Voll
• Volusia Audiology LLC
• Volusia Family Care PA
• Volusia Renal Consultants LLC
• Melanie Vumbaca, L.P.T.A.
• W. Webb, Jr., MD, PA
• Wafik Makary MD PA
• Wagid F Guirgis

• Orthopaedic Hand Surgery Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Orthopaedic Hand Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.