Active NPI
Sherri Lee Maetozo, M.D.
- Obstetrics & Gynecology Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME56926
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Woman Care, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Vitalmd Group Holding LLC | Obstetrics & Gynecology | Current | 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
- sherri.maetozo@toplinemd.eclinicaldirectplus.com
- 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.
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.