Active NPI
Vesc LLC
- Ambulatory Surgical Clinic/Center
- Ormond Beach, FL
National Provider Identifier
1992707855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 786
- Legal business name
- VESC LLC
- Practice address
- 550 Memorial Cir Ste G
Ormond Beach, FL 32174-5055 - Phone
- (862) 717-1053
- Fax
- (862) 316-5463
- NPI assigned
- Aug 11, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mairilise Pothin Owen
- Title
- Cfo
- Phone
- (407) 357-2427
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 786 | FL | Primary |
| Ambulatory Surgical Clinic/Center | 261QA1903X |
Addresses
Primary practice location
550 Memorial Cir Ste G
Ormond Beach, FL 32174-5055
Mailing address
550 Memorial Cir Ste G
Ormond Beach, FL 32174-5055
Phone (386) 231-7151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63F | Other | FL | BLUE CROSS BLUE SHIELD FL |
| 079123700 | Medicaid | FL |
Other names 3
- AdventHealth Surgery Center Ormond Beach
- Volusia Endoscopy and Surgery Center
- VESC INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120730000219 | FL | Part B Supplier - Ambulatory Surgical Center | 7810153244 | Practice locations: Ormond Beach, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Volusia Endoscopy and Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2103374 | Vesc LLC | Certificate of waiver | Oct 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
550 Memorial Cir
Ste G
Ormond Beach, FL 32174
Phone (386) 271-7105
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Colon & Rectal Surgery Physician
- Port Orange, FL
- NPI 1750383733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784246400000",
"number": "1992707855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 MEMORIAL CIR STE G",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745055",
"telephone_number": "386-231-7151",
"fax_number": "386-231-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 MEMORIAL CIR STE G",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745055",
"telephone_number": "862-717-1053",
"fax_number": "862-316-5463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VESC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-11",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A",
"authorized_official_last_name": "POTHIN OWEN",
"authorized_official_first_name": "MAIRILISE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "407-357-2427",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "786",
"primary": true
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FL",
"identifier": "63F",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079123700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AdventHealth Surgery Center Ormond Beach",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Volusia Endoscopy and Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "VESC INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.