Sarina Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SARINA HEALTHCARE LLC

Practice address

905 Beville Rd
South Daytona, FL 32119-1705

Phone

(386) 767-9000

NPI assigned

Mar 17, 2021

Organization subpart

No

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

Authorized official

Name

Jamshed Khan

Title

Director

Phone

(386) 767-9000

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gohar Shamshad Khan, M.D.

  • Family Medicine Physician
  • South Daytona, FL
  • NPI 1568467256
  NPD
• William L. Gilmer, M.D.

  • Emergency Medicine Physician
  • Ormond Beach, FL
  • NPI 1871549725
  NPD (past)
• Ataur Rahman, M.D

  • Family Medicine Physician
  • South Daytona, FL
  • NPI 1225045461
  NPD (past)
• Pamela Lawawen Scott, APRN FNP-BC

  • Family Nurse Practitioner
  • New Smyrna Beach, FL
  • NPI 1215526900
  NPD (past)

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1831774264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WINDSOR RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024451335",
            "telephone_number": "617-319-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 BEVILLE RD",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191705",
            "telephone_number": "386-767-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARINA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JAMSHED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-767-9000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernander Ross Jr., CNA
• Oliver Ross
• Mary Rudd
• Leila Ryno, M.D.
• Santrock Psychiatry, LLC
• Sanjay Sury Sastry, M. D.
• Janis Carol Sayers, L.M.H.C.
• Fernanda Antonia Sazo
• Karen Sue Schindell, RPH
• Susan Schneider

• Family Medicine Physician in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.