Saadia Fersobe, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN684 Issued in FL

Practice address

804 Emmett St
Kissimmee, FL 34741-5434

Phone

(407) 749-0380

Fax

(407) 569-4149

NPI assigned

Jul 2, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PMG Cardiology Inc

  • Pediatric Cardiology Physician
  • Sunrise, FL
  • NPI 1972522100
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013170893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13403 FAIRWAY GLEN DR",
            "address_2": "APT 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328245026",
            "telephone_number": "646-243-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 EMMETT ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415434",
            "telephone_number": "407-749-0380",
            "fax_number": "407-569-4149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 E Oak St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347445838",
            "country_code": "US",
            "telephone_number": "321-422-4866",
            "fax_number": "407-369-4652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERSOBE",
        "first_name": "SAADIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00665274",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "ACN684",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ferrera Injury Center, Inc.
• Theresa Lynn Ferreter, MSN ARNP FNP BC
• Santiago Hector Ferreyra
• David D Ferro, DMD
• Farah Ferro
• Brandon Fields, CRNA
• Tequila Fields
• Natalie Fierro
• Gabriella Fies, LCSW
• Robert Fietsam Jr., MD

• General Practice Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.