OrganizationActive
Memorial Health Systems Inc
NPI 1720195449 · Neurological Surgery Physician · Ormond Beach, FL
Provider details
- NPI number
- 1720195449
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cory Domayer, Cfo(386) 231-3909
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
875 Sterthaus Ave
Ormond Beach, FL 32174-5131
Phone: (386) 671-4500
Fax: (386) 672-9904
Street-level locationGet directions
Mailing address
Po Box 730729
Ormond Beach, FL 32173-0729
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2021-03-03
- Certified
- 2021-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.