Organization Active NPI

Misha Denham, DO PA

Doing business as Endocrine Solutions of South FL

  • Endocrinology, Diabetes & Metabolism Physician
  • Coral Gables, FL
National Provider Identifier
1164712048
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
OS9157 Issued in FL
Legal business name
MISHA DENHAM, DO PA
Doing business as
Endocrine Solutions of South FL
Practice address
2695 S Le Jeune Rd
Suite 203
Coral Gables, FL 33134-5839
Phone
(305) 672-8559
Fax
(305) 672-9259
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Misha Denham, DONPI 1689659096
Title
President
Phone
(305) 672-8559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X OS9157 FL Primary

Addresses

Primary practice location

2695 S Le Jeune Rd
Suite 203
Coral Gables, FL 33134-5839

Mailing address

2695 S Le Jeune Rd
Suite 203
Coral Gables, FL 33134-5839
Phone (305) 672-8559

Other identifiers 1

IdentifierTypeStateIssuer
003734400MedicaidFL

Other names 1

  • Endocrine Solutions of South FL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110428000596 FL Part B Supplier - Clinic/Group Practice 3375728769 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

2695 S Le Jeune Rd
Ste 203
Miami, FL 33134
Phone (305) 672-8559

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1164712048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 S LE JEUNE RD",
            "address_2": "SUITE 203",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345839",
            "telephone_number": "305-672-8559",
            "fax_number": "305-672-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 S LE JEUNE RD",
            "address_2": "SUITE 203",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345839",
            "telephone_number": "305-672-8559",
            "fax_number": "305-672-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHA DENHAM, DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "DENHAM",
        "authorized_official_first_name": "MISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-672-8559",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "OS9157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003734400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrine Solutions of South FL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.