Organization Active NPI

Jaime H Mejia MD PA

  • Diagnostic Radiology Physician
  • Mount Dora, FL
National Provider Identifier
1023446283
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
JAIME H MEJIA MD PA
Practice address
2619 Shoemaker LN
Mount Dora, FL 32757-6701
Phone
(954) 805-9494
NPI assigned
Oct 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Authorized official

Name
Dr. Jaime H Mejia, MD
Title
President
Phone
(954) 805-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X FL Primary

Addresses

Primary practice location

2619 Shoemaker LN
Mount Dora, FL 32757-6701

Mailing address

2619 Shoemaker LN
Mount Dora, FL 32757-6701
Phone (954) 805-9494

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1023446283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 SHOEMAKER LN",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576701",
            "telephone_number": "954-805-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 SHOEMAKER LN",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576701",
            "telephone_number": "954-805-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME H MEJIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-805-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.