Ormond Pediatrics, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ORMOND PEDIATRICS, P.A.

Practice address

725 W. Granada Blvd. St 1
Ormond Beach, FL 32174

Phone

(386) 673-2770

Fax

(386) 673-2760

NPI assigned

Feb 8, 2008

Last updated

Nov 16, 2020By 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

Mrs. Jennifer Melissa Danver

Title

Office Manager

Phone

(386) 673-2770

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1346428661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W. GRANADA BLVD. ST 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-673-2770",
            "fax_number": "386-673-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W. GRANADA BLVD. ST 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-673-2770",
            "fax_number": "386-673-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORMOND PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "DANVER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-673-2770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007381100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ormond Hearing Center LLC
• Ormond Medical Arts
• Ormond Medical Arts
• Ormond Medical Arts Family Practice LLC (Complete Health)
• Ormond Medical Center Inc
• Ormond Radiology Partnership, L.L.C. (Suncoast MRI of Ormond)
• Ormond Radiology Partnership, LLC
• Ormond Rehabilitation and Nursing Center LLC (Ormond Rehabilitation and Nursing Center)
• Ormonds Family Chiropractic Center
• Orthopaedic Surgery and Sports Medicine Center P.a.

• Pediatrics Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.