Orange Park Medical Center, Inc.
Organization Active NPI General Acute Care Hospital · Orange Park, FL
NPI 1689611501 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1689611501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- ORANGE PARK MEDICAL CENTER, INC.
- Practice address
- 2001 Kingsley Ave
Orange Park, FL 32073-5148 - Phone
- (904) 276-8500
- Fax
- (904) 276-8610
- NPI assigned
- May 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Christopher Landry
- Title
- Cfo
- Phone
- (904) 639-8500
Other NPIs with the same Medicare PAC ID 2
Subparts reporting this organization as parent 6
Corporate family (same tax ID) 6
Related certifications (CCN) 2
Facilities with the same owner 63
Affiliated clinicians 448
-
Husain M Abbas, MD
-
Ryan Abbaszadeh, MD
-
Ellen Rose Abellana, M.D.
-
Tatiana Graham Ade, PA-C
-
Murshid Al-Awady, M.D.
-
Abdulaziz H Alburaih, M.D
-
Mary Alderman, MD
-
David Richard Alejos, C.R.N.A.
-
Noaman Syed Ali, MD
-
Bachar Alkhalil, MD
-
Ziad Alnabki, M.D.
-
Ummair Aman, M.D.
-
Abdel Anabtawi, MD
-
Maria Antonio-Miranda, M.D.
-
Hannan Asghar, M.D.
-
Sonja Attebery, FNP-C
-
Mark G Attlesey, MD
-
Jose A Baez Lorenzo, M.D.
-
Ahmad Shah Barakzoy, M.D.
Medicare Care Compare: Hospital
- Listed as
- HCA Florida Orange Park Hospital
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Hospital certification: CCN 100226
- Legal name
- ORANGE PARK MEDICAL CENTER INC
- Doing business as
- HCA FLORIDA ORANGE PARK HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Nov 18, 1974
- Last certification
- Apr 11, 2014
- Beds
- 433
- Ownership / control type
- Other
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 2001 Kingsley Ave
Orange Park, FL 32073-5148 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 38
| Name | Role | Since | Share |
|---|---|---|---|
| Michael McAlevey |
Corporate Officer | Feb 1, 2022 | |
| Jaime L Derensis |
Corporate Officer | Nov 4, 2020 | |
| HCA Inc |
5% Or Greater Indirect Ownership Interest | May 10, 2016 | 100% |
| John M Franck |
Corporate Officer | Apr 18, 2016 | |
| Corporate Director | Jun 29, 2007 | ||
| Douglas L Downey |
Corporate Officer | Apr 18, 2016 | |
| Eric D Smith |
Other |
Mar 1, 2021 | |
| HCA Healthcare Inc |
5% Or Greater Indirect Ownership Interest | May 10, 2016 | 100% |
| Henry Todd Maxwell |
Corporate Officer | Jan 1, 2024 | |
| Frisco Holding II |
5% Or Greater Indirect Ownership Interest | Feb 6, 2026 | 16.3% |
| Christopher F Wyatt |
Corporate Officer | Apr 18, 2016 | |
| Corporate Director | Apr 18, 2016 | ||
| John I Starling |
Corporate Officer | Oct 7, 2019 | |
| Shirley E Scharf-Cheatham |
Corporate Officer | Apr 18, 2016 | |
| Richard Hammett |
Corporate Officer | Jan 1, 2023 | |
| John M Hackett |
Corporate Officer | Apr 18, 2016 | |
| Hercules Holding II |
5% Or Greater Indirect Ownership Interest | Sep 23, 2016 | 14.4% |
| Samuel N Hazen |
Corporate Officer | Apr 18, 2016 | |
| Corporate Director | Aug 16, 2011 | ||
| James Chad Patrick |
Corporate Officer | Oct 15, 2024 | |
| W-2 Managing Employee |
Oct 15, 2024 | ||
| Ronald Lee Grubbs |
Corporate Officer | Apr 18, 2016 | |
| Monica Cintado |
Corporate Officer | Oct 7, 2019 | |
| Jon Foster |
Corporate Officer | Jan 1, 2023 | |
| Healthtrust Inc - the Hospital Company |
5% Or Greater Indirect Ownership Interest | May 10, 2016 | 100% |
| Galen Holdco LLC |
5% Or Greater Direct Ownership Interest | May 10, 2016 | 100% |
| Christopher Landry |
W-2 Managing Employee |
Dec 31, 2025 | |
| Seth a Killingbeck |
Corporate Officer | Apr 18, 2016 | |
| Ricardo Pavon |
Corporate Officer | Oct 26, 2020 | |
| Timothy Scott Noonan |
Corporate Officer | Apr 18, 2016 | |
| Natalie H Cline |
Corporate Officer | Apr 18, 2016 | |
| Michael T Bray |
Corporate Officer | Apr 18, 2016 | |
| Matthew R Favicchio |
Corporate Officer | Sep 5, 2025 | |
| Peter J Rossell |
Corporate Officer | Jan 1, 2023 | |
| Ashley T Lacaze |
Corporate Officer | Apr 15, 2019 | |
| Michael a Marks |
Corporate Officer | Sep 5, 2025 | |
| Edwin W Robinson |
Corporate Officer | Sep 5, 2025 | |
| Brad Ej Spicer |
Corporate Officer | Jan 1, 2023 | |
| Hugh Carter Tappan |
Corporate Officer | Apr 18, 2016 | |
| Kevin a Ball |
Corporate Officer | Apr 18, 2016 | |
| Jeffery McInturff |
Corporate Officer | Nov 29, 2021 | |
| Deborah H Mullin |
Corporate Officer | Apr 18, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070813000627 | FL | Part a Provider - Hospital | 7113018698 | Practice locations: Jacksonville, FL; Orange Park, FL; Middleburg, FL |
National Provider Directory
- Tax ID family
- Orange Park Medical Center Inc
Networks
- HealthSun Health Plans Network
Interoperability endpoints
- orangepark.cocop.flh@ccda.hcadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
2001 Kingsley Ave
Orange Park, FL 32073-5148
Mailing address
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044006 | Other | FL | AVMED |
| 000627965X | Medicaid | GA | |
| 11232A | Medicaid | SC | |
| 11174100 | Medicaid | FL | |
| 134 | Other | FL | BLUE CROSS/HOPT |
| 16795 | Other | FL | AMERIGROUP |
| 01497965 | Medicaid | NY |
Other names
- HCA Florida Orange Park Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
| Direct Messaging Address | ORANGEPARK.COCOP.FLH@CCDA.HCADIRECT.NET |
Other providers in Orange Park, FL
- Orange Park Hospitalists LLC
- Orange Park Medical Center - Navy Resource Sharing
- Orange Park Medical Center, Inc.
- Orange Park Medical Center, Inc.
- Orange Park Medical Center, Inc.
- Orange Park MGT, LLC
- Orange Park Neurosurgery P.L.
- Orange Park Nursing LLC
- Orange Park Opco LLC
- Orange Park Orthopaedic Associates, P.a.
All providers in Orange Park, FL · General Acute Care Hospital in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.