NPIMap

Organization Active NPI

Children'S Medical Center of Ormond Beach

  • Specialist
  • Ormond Beach, FL
National Provider Identifier
1093932113
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHILDREN'S MEDICAL CENTER OF ORMOND BEACH
Doing business as
Children's Medical Center
Practice address
200 Booth Rd
Suite a
Ormond Beach, FL 32174-5715
Phone
(386) 523-1212
Fax
(386) 523-1213
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Ms. Debbi Paul, PRACTICE MGR
Title
MRG
Phone
(386) 523-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

200 Booth Rd
Suite a
Ormond Beach, FL 32174-5715

Mailing address

200 Booth Rd
Suite a
Ormond Beach, FL 32174-5715
Phone (386) 523-1212

Other names 1

  • Children's Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

200 Booth Rd
Ste A
Ormond Beach, FL 32174
Phone (386) 425-1212

870 Dunlawton Ave
Ste 310
Port Orange, FL 32127

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1093932113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOOTH RD",
            "address_2": "SUITE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745715",
            "telephone_number": "386-523-1212",
            "fax_number": "386-523-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOOTH RD",
            "address_2": "SUITE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745715",
            "telephone_number": "386-523-1212",
            "fax_number": "386-523-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S MEDICAL CENTER OF ORMOND BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_title_or_position": "MRG",
        "authorized_official_telephone_number": "386-523-1212",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PRACTICE MGR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.