Damaris Age, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9110129 Issued in FL

Practice address

963 Town Center Dr Ste 100
Orange City, FL 32763-8254

Phone

(217) 238-3000

Fax

(217) 238-3008

NPI assigned

Oct 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians

Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, 1,260 clinicians

Florida ENT Associates IncGroup PAC ID 4587556923, 156 clinicians

Atlantic Ear, Nose and Throat, PAGroup PAC ID 7214830660, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
• Adventhealth Deland Hospital, Deland, FL, CCN 100045

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles (1 of 3)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: age.damaris.010.0090158@aent.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida ENT Associates, Inc.

  • Otolaryngology Physician
  • West Miami, FL
  • NPI 1184625733

  FL

  Medicare reassignment Care Compare group NPD
• Atlantic Ear Nose & Throat PA

  • Otolaryngology Physician
  • Orange City, FL
  • NPI 1710932405

  FL

  Medicare reassignment Care Compare group
• Ability Health Services and Rehabilitation LP

  • Rehabilitation Clinic/Center
  • Sanford, FL
  • NPI 1295279990
  Care Compare group
• Ability Health Services and Rehabilitation LP

  • Physical Therapist
  • Lake Mary, FL
  • NPI 1447950340
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital-West Volusia Inc

  • General Acute Care Hospital
  • Deland, FL
  • NPI 1649367269

  Hospital

  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  • General Acute Care Hospital
  • Orange City, FL
  • NPI 1700978558

  Hospital

  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1902095078

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1023360294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165873",
            "telephone_number": "305-558-3724",
            "fax_number": "786-907-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 TOWN CENTER DR STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638254",
            "telephone_number": "217-238-3000",
            "fax_number": "217-238-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGE",
        "first_name": "DAMARIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110129",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Prosthetics of America Inc
• Advanced Urology Institute LLC
• Advantage Medical Group LLC
• Adventist Health System/Sunbelt, Inc.
• Juliet Omonme Agbator, APRN
• Faisal Ahmad, MD
• Uzma Ahmed Khurshid, MD
• Kaleem Ahmed, M.D.
• Shazia Ahmed, M.D.
• Syed Bilal Ahmed, M.D.

• All providers in Orange City, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.