DOCTORS MEMORIAL HOSPITAL (NPI# 1043386865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043386865 |
| Entity Type | Organization |
| Organization Name | DOCTORS MEMORIAL HOSPITAL |
| Other Organization Name | DOCTORS MEMORIAL HOSPITAL |
| Practice Address |
Doctors Memorial Hospital 333 N Byron Butler Parkway Perry FL 32347 |
| Mailing Address |
Doctors Memorial Hospital Po Box 864013 Orlando FL 32886-4013 |
| Practice Telephone | 8505840800 |
| Mailing Telephone | 8505840800 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAIME MEJIA (PHYSICIAN) |
| Authorized Official Telephone | 8505840800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DOCTORS MEMORIAL HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326081282 | Doctors Memorial Hospital | Clinic/Center | 1209 1st Avenue South, Steinhatchee, FL 32359 | 2006-06-14 |
| 1225097967 | Doctors Memorial Hospital | Clinic/Center | 1706 S Jefferson St, Perry, FL 32348-5611 | 2006-03-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DOCTORS MEMORIAL HOSPITAL | 2600 Hospital Dr, Bonifay, FL 32425-4264 |
| Street Address |
DOCTORS MEMORIAL HOSPITAL 333 N BYRON BUTLER PARKWAY |
| City | PERRY |
| State | FL |
| Zip Code | 32347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225250764 | Advance Speech and Language Center | Speech-Language Pathologist | 214 North Washington Street, Perry, FL 32347 | 2007-05-03 |
| 1467472282 | Firas A Hamdan | Otolaryngology | 1224 N Peacock Ave, Perry, FL 32347 | 2006-07-21 |
| 1841229333 | Miles V Nelson | Surgery | 1218 N Peacock Ave, Perry, FL 32347 | 2006-06-30 |
| 1679518187 | Diane A Schlick | Family Medicine | 616 S Jefferson Street, Perry, FL 32347 | 2006-06-18 |
| 1609233170 | Rachel Gilliam | Occupational Therapy Assistant | 207 Marshall Dr, Perry, FL 32347 | 2016-01-28 |
| 1184041741 | Pamela Sauls | Family Medicine | 315 E Ash St, Perry, FL 32347 | 2014-03-20 |
| 1356664924 | Jacqueline Bailey | Speech-Language Pathologist | 207 Marshall Dr, Perry, FL 32347 | 2010-03-10 |
| 1831511070 | Rebecca Carroll Wambolt | Speech-Language Pathologist | 1835 Oak Ridge Ln, Perry, FL 32347-0610 | 2014-01-07 |
| 1871130856 | Carestandard Corporation | Family Medicine | 688 A B Murphy Rd, Perry, FL 32347-0810 | 2019-12-09 |
| 1912353616 | Iris Danielle Turner | Licensed Practical Nurse | 1348 Fairway Dr, Perry, FL 32347-0970 | 2016-05-11 |
| Find all providers in zip 32347 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962591800 | Nabil Nakhla Faltas | Radiology | 610 10th Street, Dallas Co Hospital, Perry, IA 50220 | 2006-10-11 |
| 1306060298 | Doctors Memorial Hospital Inc | Radiology | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 | 2007-04-12 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.