Individual provider Active NPI

Patricia Louise Dranginis, D.O.

  • Emergency Medicine Physician
  • New Smyrna Beach, FL
National Provider Identifier
1710002274
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS 4401 Issued in FL
Practice address
93 Cunningham Dr
New Smyrna Beach, FL 32168-5905
Phone
(386) 428-7811
NPI assigned
Mar 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS 4401 FL Primary

Addresses

Primary practice location

93 Cunningham Dr
New Smyrna Beach, FL 32168-5905

Mailing address

93 Cunningham Dr
New Smyrna Beach, FL 32168-5905
Phone (386) 428-7811

Other names 1

  • Mrs. Patricia Louise Dranginis-Shulman Other name

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
I20070517000740 FL Practitioner - Emergency MedicinePractitioner - General Practice 6608973144 Practice locations: Deleon Springs, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 4401FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Volusia Medical Services Inc Emergency Medicine Past Accepting new patients
Bert Fish Medical Center Inc Past Accepting new patients
Bay View Urgent Care LLC PastSince Apr 1, 2010 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710002274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 CUNNINGHAM DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321685905",
            "telephone_number": "386-428-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 CUNNINGHAM DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321685905",
            "telephone_number": "386-428-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRANGINIS",
        "first_name": "PATRICIA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS 4401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "DRANGINIS-SHULMAN",
            "middle_name": "LOUISE",
            "prefix": "MRS.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.