Individual provider Active NPI

Sherri Lee Maetozo, M.D.

  • Obstetrics & Gynecology Physician
  • St Augustine, FL
National Provider Identifier
1487641403
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME56926 Issued in FL
Practice address
1301 Plantation Island Drive
Suite 103
St Augustine, FL 32080
Phone
(904) 461-5330
Fax
(904) 461-5334
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME56926 FL Primary

Addresses

Primary practice location

1301 Plantation Island Drive
Suite 103
St Augustine, FL 32080

Mailing address

1301 Plantation Island Drive
Suite 103
St Augustine, FL 32080-3109
Phone (904) 461-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100602000546 FL Practitioner - Obstetrics/Gynecology 9032248984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Dec 9, 2014 Accepting new patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Apr 1, 2020 Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

7051 Dr Phillips Blvd
Ste 5
Orlando, FL 32819
Phone (407) 363-2000

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

1301 Plantation Island Dr S
Ste 103
Saint Augustine, FL 32080
Phone (904) 461-5330

1925 Mizell Ave
Ste 206
Winter Park, FL 32792
Phone (407) 645-3055

Interoperability endpoints

  • Direct secure messaging: sherri.maetozo@toplinemd.eclinicaldirectplus.com
  • Direct secure messaging: smaetozo742783@direct.shands.ufl.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1487641403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DRIVE",
            "address_2": "SUITE 103",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320803109",
            "telephone_number": "904-461-5330",
            "fax_number": "904-461-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLANTATION ISLAND DRIVE",
            "address_2": "SUITE 103",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32080",
            "telephone_number": "904-461-5330",
            "fax_number": "904-461-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAETOZO",
        "first_name": "SHERRI",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME56926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.