NPIMap

Organization Active NPI

Doctors Memorial Hospital

  • Diagnostic Radiology Physician
  • Perry, FL
National Provider Identifier
1043386865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DOCTORS MEMORIAL HOSPITAL
Doing business as
Doctors Memorial Hospital
Practice address
Doctors Memorial Hospital
333 N Byron Butler Parkway
Perry, FL 32347
Phone
(850) 584-0800
NPI assigned
Nov 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jaime Mejia
Title
Physician
Phone
(850) 584-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X FL Primary

Addresses

Primary practice location

Doctors Memorial Hospital
333 N Byron Butler Parkway
Perry, FL 32347

Mailing address

Doctors Memorial Hospital
PO Box 864013
Orlando, FL 32886-4013
Phone (850) 584-0800

Other names 1

  • DOCTORS MEMORIAL HOSPITAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Internal Medi10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5867/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-usa.unify.chbase.com/org/docmem-3ba2b2b2

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043386865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DOCTORS MEMORIAL HOSPITAL",
            "address_2": "PO BOX 864013",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864013",
            "telephone_number": "850-584-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOCTORS MEMORIAL HOSPITAL",
            "address_2": "333 N BYRON BUTLER PARKWAY",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "32347",
            "telephone_number": "850-584-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-584-0800"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTORS MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.