MR. JOHN A ORTOLANI (NPI# 1487613642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487613642 |
| Entity Type | Individual |
| Full Name | MR. JOHN A ORTOLANI |
| Credential | M.D. |
| Practice Address |
1430 Mason Ave Daytona Beach FL 32117-4551 |
| Practice Telephone | 3862742000 |
| Practice Fax Number | 3862742009 |
| Mailing Telephone | 3862742000 |
| Mailing Fax Number | 3862742009 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME0034710 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760781330 | John Burke Ortolani | Colon & Rectal Surgery | 100 High St, Buffalo, NY 14203-1126 | 2011-03-22 |
| Street Address |
1430 MASON AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019655 | Christopher Godfrey | Physical Medicine & Rehabilitation | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2020-06-29 |
| 1730698044 | Michael Lagoe | Nurse Practitioner | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2017-09-29 |
| 1053767921 | Lynn Ann Howard | Nurse Practitioner | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2016-05-10 |
| 1063839793 | Gary Wayne Jay | Pain Medicine | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2014-03-19 |
| 1609117647 | Dna Center LLC | Clinic/Center | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2013-03-14 |
| 1437408812 | Elizabeth C Smith | Nurse Practitioner | 1430 Mason Ave, Daytona Beach, FL 32117 | 2012-08-31 |
| 1841200144 | Michel Van Thielen | Acupuncturist | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2006-08-09 |
| 1962461137 | Jeffrey J Ahmed | Psychiatry & Neurology | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306097084 | Srivadee Oravivattanakul | Psychiatry & Neurology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2008-10-01 |
| 1437194453 | Halifax Healthcare Systems Inc | Psychiatry & Neurology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-06-17 |
| 1952343519 | Halifax Healthcare Systems Inc | Psychiatry & Neurology | 311 N Clyde Morris Blvd, Suite 510, Daytona Beach, FL 32114-2781 | 2006-06-11 |
| 1962461137 | Jeffrey J Ahmed | Psychiatry & Neurology | 1430 Mason Ave, Daytona Beach, FL 32117-4551 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820087 | Lewis Leckey Hamilton | Psychiatry & Neurology | 471 Palm Ave, Boca Grande, FL 33921-1157 | 2020-08-04 |
| 1588282776 | Magic Medical Specialties Corp | Psychiatry & Neurology | 9421 S Orange Blossom Trl # 19, Orlando, FL 32837-8320 | 2020-07-14 |
| 1235757899 | Miami Headache Center, Pllc | Psychiatry & Neurology | 5415 Collins Ave Apt Phe, Miami Beach, FL 33140-2575 | 2020-07-10 |
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1104458462 | Neuro Synchrony LLC | Psychiatry & Neurology | 1745 E Hwy 50 Ste B1, Clermont, FL 34711-5190 | 2020-02-05 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
| 1326511007 | Parkinsons & Memory Center Pa | Psychiatry & Neurology | 919 N Osprey Ave # B, Sarasota, FL 34236-4143 | 2019-01-06 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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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.