Organization Active NPI

Doctors' Memorial Hospital, Inc

Doing business as Doctors Memorial Hospital Medical Associates

  • Internal Medicine Physician
  • Perry, FL
National Provider Identifier
1790970846
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOCTORS' MEMORIAL HOSPITAL, INC
Doing business as
Doctors Memorial Hospital Medical Associates
Practice address
333 N Byron Butler Pkwy
Perry, FL 32347-2300
Phone
(850) 584-0609
NPI assigned
Sep 12, 2007
Last updated
Sep 12, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
DOCTORS' MEMORIAL HOSPTIAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Terri L Parsons
Title
Cfo
Phone
(850) 584-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

333 N Byron Butler Pkwy
Perry, FL 32347-2300

Mailing address

1702 S Jefferson St
Perry, FL 32348-5611
Phone (850) 584-0609

Other names 1

  • Doctors Memorial Hospital Medical Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Internal Medi10 organizations share this tax ID, including this one
Part of
Pediatric Internal Medi

Other organizations with this tax ID 9

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": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1790970846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323485611",
            "telephone_number": "850-584-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N BYRON BUTLER PKWY",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472300",
            "telephone_number": "850-584-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS' MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS' MEMORIAL HOSPTIAL, INC",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-584-0800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Memorial Hospital Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.