NPIMap

Organization Active NPI

Volusia Medical Center LLC

  • Family Medicine Physician
  • Deland, FL
National Provider Identifier
1902448715
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VOLUSIA MEDICAL CENTER LLC
Practice address
850 N. Stone Street
Deland, FL 32720
Phone
(386) 424-1584
Fax
(386) 410-4800
NPI assigned
Oct 14, 2019
Organization subpart
Yes
Parent organization
VOLUSIA MEDICAL CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Authorized official

Name
Mrs. Jessica Storey, MA
Title
Ma/Office Manager
Phone
(386) 424-1584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

850 N. Stone Street
Deland, FL 32720

Mailing address

850 N. Stone Street
Deland, FL 32720
Phone (386) 424-1584

Other identifiers 1

IdentifierTypeStateIssuer
009910800MedicaidFL

Other names 1

  • Volusia Medical Center of Deland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Volusia Medical Center LLC3 organizations share this tax ID, including this one
Part of
Volusia Medical Center LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

850 N Stone St
Deland, FL 32720
Phone (386) 424-3320

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1902448715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N. STONE STREET",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32720",
            "telephone_number": "386-424-1584",
            "fax_number": "386-410-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N. STONE STREET",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "32720",
            "telephone_number": "386-424-1584",
            "fax_number": "386-410-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUSIA MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VOLUSIA MEDICAL CENTER LLC",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "STOREY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MA/OFFICE MANAGER",
        "authorized_official_telephone_number": "386-424-1584",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009910800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Volusia Medical Center of Deland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.