Ormond Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS7544 Issued in FL

Legal business name

ORMOND INTERNAL MEDICINE LLC

Practice address

279 S. Yonge St.
Ormond BCH, FL 32174

Phone

(386) 673-2133

Fax

(386) 673-2743

NPI assigned

Aug 6, 2007

Last updated

Jul 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Gail Vandiepen, DONPI 1568435659

Title

Owner

Phone

(386) 673-2133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11843/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Gail Vandiepen, DO

  • Internal Medicine Physician
  • Ormond Beach, FL
  • NPI 1568435659
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea Jean Thompson, NP

  • Nurse Practitioner
  • Bunnell, FL
  • NPI 1346717881
  Medicare reassignment Care Compare group NPD
• Ronnie Hoelker, FNP

  • Family Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1811319908
  Medicare reassignment NPD
• Jody Michele King, ARNP, FNP-C

  • Internal Medicine Physician
  • Ormond Beach, FL
  • NPI 1750097267
  Medicare reassignment NPD
• Heather Rebro, APRN

  • Family Nurse Practitioner
  • Ormond Beach, FL
  • NPI 1558061168
  Medicare reassignment NPD

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1023209095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 S. YONGE ST.",
            "city": "ORMOND BCH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-673-2133",
            "fax_number": "386-673-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 S. YONGE ST.",
            "city": "ORMOND BCH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-673-2133",
            "fax_number": "386-673-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORMOND INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "VANDIEPEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-673-2133",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Lane Hanger, M.D.
• Kristi L Lafreniere, A.R.N.P.

• Internal Medicine Physician in Ormond BCH, FL
• Providers in Ormond BCH, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.