NPIMap

Organization Active NPI

Ormond Medical Arts

Doing business as Complete Health Edgewater

  • Non-Pharmacy Dispensing Site
  • Edgewater, FL
National Provider Identifier
1467275289
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
Doing business as
Complete Health Edgewater
Practice address
346 N Ridgewood Ave Ste a
Edgewater, FL 32132-1672
Phone
(386) 423-1888
Fax
(833) 905-2435
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

346 N Ridgewood Ave Ste a
Edgewater, FL 32132-1672

Mailing address

PO Box 18854
Belfast, ME 04915-4083

Other names 1

  • Complete Health Edgewater 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
10D0907113Ormond Medical Arts Family Practice PL346 N Ridgewood Ave Suite a, Edgewater, FL 32132Certificate of waiverNov 7, 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.

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": "1467275289",
    "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": "346 N RIDGEWOOD AVE STE A",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321321672",
            "telephone_number": "386-423-1888",
            "fax_number": "833-905-2435"
        }
    ],
    "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 Edgewater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edgewater, 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.