Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PORT ORANGE ENDOSCOPY & SURGERY CENTER LLC
NPI 1619979580
Clinic/Center - Ambulatory Surgical in Port Orange, FL

Q: What is Port Orange Endoscopy & Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since August 11, 2005

1185 DUNLAWTON AVE STE 100, PORT ORANGE, FL 32127(386) 777-7151(386) 231-6545 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2026, Jan 29, 2026, May 5, 2025 and 7 more (10 updates tracked since 2022).

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About Port Orange Endoscopy & Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT ORANGE ENDOSCOPY & SURGERY CENTER LLC (NPI 1619979580), doing business as Adventhealth Surgery Center Port Orange, is a healthcare organization registered as an ambulatory surgical in Port Orange, Florida and active in the NPI registry since August 2005. The organization maintains a secondary practice location in Ormond Beach and lists Mairilise Pothin Owen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619979580

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePORT ORANGE ENDOSCOPY & SURGERY CENTER LLC

Location Address1185 DUNLAWTON AVE STE 100Port Orange, FL 32127-2906

Mailing Address1185 Dunlawton Ave Ste 100Port Orange, FL 32127-2906 · (386) 777-7151 · Fax (386) 231-6545

Phone(386) 777-7151

Fax(386) 231-6545

Organization SubpartNo

Authorized OfficialMairilise Pothin OwenCfo · (407) 357-2427

Enumeration DateAugust 11, 2005

Last NPPES UpdateJuly 17, 202610 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1619979580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in FL · 1227

1185 DUNLAWTON AVE STE 100, Port Orange, FL 32127

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Other Names 1

Doing Business AsAdventhealth Surgery Center Port Orange

Secondary Practice Location 1

Location 1550 Memorial Cir Ste GOrmond Beach, FL 32174-5055 · Phone (386) 271-7105 ext. 3 · Fax (386) 231-6545

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and more.Insurance ›

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

131 services131 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

105 services104 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

61 services61 patients

Destruction of polyp or growth of large bowel using a flexible endoscope 45388

This procedure involves the removal of a polyp or growth in the large bowel. A flexible endoscope, a thin tube with a camera, is inserted through the rectum to visualize and remove the growth. This helps maintain bowel health and prevent complications.

61 services61 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

55 services54 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

24 services24 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW RYAN WILSON M.D.

Colon & Rectal Surgery

1185 DUNLAWTON AVE STE 100
PORT ORANGE, FL 32127

Volusia County (386) 756-7066

ANDREW H RITTER M.D.

Colon & Rectal Surgery

1185 DUNLAWTON AVE STE 100
PORT ORANGE, FL 32127

Volusia County (386) 672-0017

JOHN T TOLLAND MD

Colon & Rectal Surgery

1185 DUNLAWTON AVE STE 100
PORT ORANGE, FL 32127

Volusia County (386) 672-0017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Orange Endoscopy & Surgery Center LLC's NPI number?

The NPI number for Port Orange Endoscopy & Surgery Center LLC is 1619979580. It was assigned to this organization in the NPPES registry on August 11, 2005. The provider is doing business as AdventHealth Surgery Center Port Orange.

Where is Port Orange Endoscopy & Surgery Center LLC located?

Port Orange Endoscopy & Surgery Center LLC is located at 1185 Dunlawton Ave Ste 100, Port Orange, FL 32127. The listed phone number is (386) 777-7151.

What is Port Orange Endoscopy & Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does Port Orange Endoscopy & Surgery Center LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida and 1 other insurer list Port Orange Endoscopy & Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Port Orange Endoscopy & Surgery Center LLC was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.