NPIMap

Organization Active NPI

Ormond Medical Arts

  • Non-Pharmacy Dispensing Site
  • South Daytona, FL
National Provider Identifier
1346063161
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
ORMOND MEDICAL ARTS
Practice address
401 Venture Dr Ste a
South Daytona, FL 32119-3475
Phone
(386) 280-4169
Fax
(833) 606-0655
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Robin Campbell
Title
VP, Revenue Cycle
Phone
(256) 282-9568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

401 Venture Dr Ste a
South Daytona, FL 32119-3475

Mailing address

PO Box 18854
Belfast, ME 04915-4083

Other names 1

  • Complete Health South Daytona Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0715637Ormond Medical Arts Family Practice LLC401 Venture Drive Unit a, South Daytona, FL 32119Certificate of waiverAug 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ormond Medical Arts8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

401 Venture Dr
Ste A
South Daytona, FL 32119
Phone (386) 761-8888

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1346063161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18854",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 VENTURE DR STE A",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193475",
            "telephone_number": "386-280-4169",
            "fax_number": "833-606-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORMOND MEDICAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE",
        "authorized_official_telephone_number": "256-282-9568"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Health South Daytona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.