ADVENTHEALTH MEDICAL GROUP – NPI #1922115914
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

ADVENTHEALTH MEDICAL GROUP is a surgeon located in DAYTONA BEACH, FL. NPPES has assigned the NPI number 1922115914 to ADVENTHEALTH MEDICAL GROUP on August 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVENTHEALTH MEDICAL GROUP” is a dba name, the actual legal business name for this organization is MEMORIAL HEALTH SYSTEMS INC. According to the NPI Registry, there are 15 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Apr 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVENTHEALTH MEDICAL GROUP below.

NPI Profile for
MEMORIAL HEALTH SYSTEMS INC

NPI Number
1922115914
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEMORIAL HEALTH SYSTEMS INC
Doing Business As (dba): ADVENTHEALTH MEDICAL GROUP
Primary location
305 MEMORIAL MEDICAL PKWY STE 205
DAYTONA BEACH, FL 32117-5169
Phone: (386) 231-3530 Fax:
15 Other location(s):
1890 Lpga Blvd Ste 170
Daytona Beach, FL 32117-7131
Phone: (386) 274-3354
1893 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5536
Phone: (386) 677-0531
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone: (386) 231-6000
305 Memorial Medical Pkwy Ste 201
Daytona Beach, FL 32117-5169
Phone: (386) 231-3530
305 Memorial Medical Pkwy Ste 207
Daytona Beach, FL 32117-5169
Phone: (386) 231-3525
305 Memorial Medical Pkwy Ste 208
Daytona Beach, FL 32117-5169
Phone: (386) 231-3593
Fax: (386) 672-9904
305 Memorial Medical Pkwy Ste 209
Daytona Beach, FL 32117-5169
Phone: (386) 231-3520
305 Memorial Medical Pkwy Ste 307
Daytona Beach, FL 32117-5169
Phone: (386) 231-3512
305 Memorial Medical Pkwy Ste 308
Daytona Beach, FL 32117-5137
Phone: (386) 231-3602
305 Memorial Medical Pkwy Ste 400
Daytona Beach, FL 32117-5169
Phone: (386) 231-3580
305 Memorial Medical Pkwy Ste 401
Daytona Beach, FL 32117-5169
Phone: (386) 231-3612
1050 W Granada Blvd Ste 2A
Ormond Beach, FL 32174-8155
Phone: (386) 231-3050
290 Clyde Morris Blvd Ste A2
Ormond Beach, FL 32174-8204
Phone: (386) 231-3490
335 Clyde Morris Blvd Ste 240
Ormond Beach, FL 32174-3197
Phone: (386) 231-3561
5535 S Williamson Blvd Ste 700
Port Orange, FL 32128-8321
Phone: (386) 231-6300
Mailing address
770 W GRANADA BLVD STE 203
ORMOND BEACH, FL 32174-5179
Phone: (863) 231-4252 Fax: (386) 676-2560
Organization Subpart
No
Authorized Official
CORY DOMAYER
CFO
Phone: (386) 231-3906
Updated
Certification Date
Apr 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVENTHEALTH MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE ID UNSPECIFIEDFL40181J
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.