Excellence Health Specialist LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

EXCELLENCE HEALTH SPECIALIST LLC

Practice address

1630 Mason Ave Ste C
Daytona Beach, FL 32117-4503

Phone

(386) 238-9064

Fax

(386) 238-9063

NPI assigned

Jan 5, 2023

Last updated

Oct 2, 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

Husam Eddin, MDNPI 1629082607

Title

Ceo

Phone

(386) 238-9064

Specialties & licenses 7

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 6

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.

• Husam Eddin, M.D

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1629082607
  Medicare reassignment NPD Authorized official
• Jeanne Marie Kerr, MSN APRN NP-C

  • Family Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1790328094
  Medicare reassignment Care Compare group NPD
• Dany A Obeid, MD

  • Pulmonary Disease Physician
  • Daytona Beach, FL
  • NPI 1841336310

  Sleep Medicine

  Medicare reassignment Care Compare group NPD
• Ahmad Shamsin, M.D.

  • Cardiovascular Disease Physician
  • Port Orange, FL
  • NPI 1568436731
  Medicare reassignment Care Compare group NPD
• Jenilee Marcinkiewicz, FNP-C

  • Family Nurse Practitioner
  • Ormond Beach, FL
  • NPI 1164033288
  Medicare reassignment NPD
• Iszenn Joy Nudalo-Briganti, ARNP

  • Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1467828632
  Medicare reassignment NPD

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1306559265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MASON AVE STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174503",
            "telephone_number": "386-238-9064",
            "fax_number": "386-238-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MASON AVE STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174503",
            "telephone_number": "386-238-9064",
            "fax_number": "386-238-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE HEALTH SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "EDDIN",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-238-9064",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reception@excellencehlth.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1630 Mason Ave Ste C",
            "city": "Daytona Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321174503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://excellencehlth.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1630 Mason Ave Ste C",
            "city": "Daytona Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321174503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Sleep Medicine (Internal Medicine) Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Sleep Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.