| Complete Health | |
|
77 W Granada Blvd Ormond Beach FL 32174-6302 | |
| (386) 677-0453 | |
| (386) 677-0463 |
| Full Name | Complete Health |
|---|---|
| Speciality | Family Medicine |
| Location | 77 W Granada Blvd, Ormond Beach, Florida |
| Authorized Official Name and Position | Robin Campbell (SR.DIRECTOR ENTERPRISE REVENUECYCLE) |
| Authorized Official Contact | 2562829568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Health 841 Prudential Dr Ste 1700 Jacksonville FL 32207-8329 Ph: (904) 800-7071 | Complete Health 77 W Granada Blvd Ormond Beach FL 32174-6302 Ph: (386) 677-0453 |
| NPI Number | 1326254962 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 1254222565 |
|---|---|
| Medicare Enrollment ID | O20040324000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326254962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | George F Herdel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457313421 PECOS PAC ID: 1456345917 Enrollment ID: I20040408001324 |
| Provider Name | Jerry Leventhal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558364265 PECOS PAC ID: 3678569514 Enrollment ID: I20040424000055 |
| Provider Name | Bruce Rankin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922027853 PECOS PAC ID: 0547259137 Enrollment ID: I20040510000261 |
| Provider Name | Craig Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043291495 PECOS PAC ID: 8820068125 Enrollment ID: I20040726001148 |
| Provider Name | David Wesley Carpenter |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164573192 PECOS PAC ID: 7517926959 Enrollment ID: I20041011000074 |
| Provider Name | Sandford H Kinne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043328735 PECOS PAC ID: 5890845705 Enrollment ID: I20090616000304 |
| Provider Name | John R Jutting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265574800 PECOS PAC ID: 5092869131 Enrollment ID: I20090824000631 |
| Provider Name | James Richard Shoemaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518018530 PECOS PAC ID: 7214828524 Enrollment ID: I20100121000502 |
| Provider Name | Susan A Hole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154384436 PECOS PAC ID: 1254362916 Enrollment ID: I20100209000530 |
| Provider Name | Grace Pedersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528385176 PECOS PAC ID: 6507998630 Enrollment ID: I20100724000226 |
| Provider Name | Andrew Charles Feldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780687848 PECOS PAC ID: 1557485307 Enrollment ID: I20100831000276 |
| Provider Name | Jeffrey Friedman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821089699 PECOS PAC ID: 9335334101 Enrollment ID: I20101108000280 |
| Provider Name | Jose R Gierbolini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760464564 PECOS PAC ID: 3779778600 Enrollment ID: I20101117000495 |
| Provider Name | David K Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558437707 PECOS PAC ID: 7416847231 Enrollment ID: I20101222000411 |
| Provider Name | Stephen M Giorgianni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609182690 PECOS PAC ID: 8729248406 Enrollment ID: I20120404000903 |
| Provider Name | Raj Kandavanam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821223587 PECOS PAC ID: 4587812235 Enrollment ID: I20120921000244 |
| Provider Name | Arletty D Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699777342 PECOS PAC ID: 8628145976 Enrollment ID: I20121106000620 |
| Provider Name | Mary T Izzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023145752 PECOS PAC ID: 3274775911 Enrollment ID: I20130809000236 |
| Provider Name | James W Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770644957 PECOS PAC ID: 4981923414 Enrollment ID: I20150505002914 |
| Provider Name | Linda M Melendez Torres |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316933708 PECOS PAC ID: 5395761126 Enrollment ID: I20150511001595 |
| Provider Name | Yanelis Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063766228 PECOS PAC ID: 2466773551 Enrollment ID: I20150601002346 |
| Provider Name | Teresa Ann Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255744223 PECOS PAC ID: 6406075274 Enrollment ID: I20150928001435 |
| Provider Name | Brittany Diane Newton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063703833 PECOS PAC ID: 1850537655 Enrollment ID: I20161013001384 |
| Provider Name | Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073051827 PECOS PAC ID: 9133406713 Enrollment ID: I20170509000943 |
| Provider Name | Christina L Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558802959 PECOS PAC ID: 3274800578 Enrollment ID: I20170516002141 |
| Provider Name | Andrea Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134634249 PECOS PAC ID: 6901151497 Enrollment ID: I20180625003021 |
| Provider Name | Suresh J Kandavanam |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689025009 PECOS PAC ID: 1951699693 Enrollment ID: I20181018001329 |
| Provider Name | Stephen Goykovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720057805 PECOS PAC ID: 5890972426 Enrollment ID: I20190228001998 |
| Provider Name | Dianne Kyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770934655 PECOS PAC ID: 4082976949 Enrollment ID: I20190510001174 |
| Provider Name | Deborah Vega Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003230640 PECOS PAC ID: 4385987064 Enrollment ID: I20190521000944 |
| Provider Name | Kristin Marie Condon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922656149 PECOS PAC ID: 9133552730 Enrollment ID: I20191212002615 |
| Provider Name | Cassidy E Pattik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396278719 PECOS PAC ID: 0749550432 Enrollment ID: I20200831002077 |
| Provider Name | Amy Elizabeth Mccandless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841805462 PECOS PAC ID: 7012307499 Enrollment ID: I20211129000161 |
| Provider Name | Cassandra Nichole Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124787742 PECOS PAC ID: 1052702131 Enrollment ID: I20211228001098 |
| Provider Name | Shane Timothy Sampson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023080116 PECOS PAC ID: 1951488766 Enrollment ID: I20220803001589 |
| Provider Name | Kaleigh Emaline France |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831706878 PECOS PAC ID: 0547638272 Enrollment ID: I20221130000458 |
| Provider Name | Julee L Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083322713 PECOS PAC ID: 6305210691 Enrollment ID: I20230329000096 |
| Provider Name | Kimberly Lynn Clough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417595646 PECOS PAC ID: 7911360672 Enrollment ID: I20230828003705 |
| Provider Name | Mariya Boychev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134886054 PECOS PAC ID: 3577911528 Enrollment ID: I20231130003556 |
Ormond Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 279 S Yonge St, Ormond Beach, FL 32174 Phone: 386-955-9704 Fax: 386-872-5004 | |
James E Mcdonnell Md Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Clyde Morris Blvd, Suite 130, Ormond Beach, FL 32174 Phone: 386-677-6727 Fax: 386-677-3211 | |
Mark W. Lastarza, M.d., Pa. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 Clyde Morris Blvd, Suite 290, Ormond Beach, FL 32174 Phone: 386-672-3219 Fax: 386-672-3160 | |
Skeuthaus Inpatient Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Sterthaus Ave, Ormond Beach, FL 32174 Phone: 386-676-6000 | |
Advanced Health Care Physical Medicine,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 W Granada Blvd, Suite 101, Ormond Beach, FL 32174 Phone: 386-673-2000 Fax: 386-673-2002 | |
Roya Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 N Beach St, Suite A, Ormond Beach, FL 32174 Phone: 386-673-8333 Fax: 386-673-5236 | |
Mobile Health Solutions Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Pine Creek Trl, Ormond Beach, FL 32174 Phone: 386-566-1733 Fax: 386-615-6628 |