Organization Active NPI

Coral Reef Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • Miami, FL
National Provider Identifier
1265519391
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0016257 Issued in FL
Legal business name
CORAL REEF ORTHOPAEDIC ASSOCIATES PA
Practice address
9299 Coral Reef Dr
Ste 104
Miami, FL 33157
Phone
(305) 251-2240
Fax
(305) 238-1517
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Peter J Millherser, MD
Title
President
Phone
(305) 251-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X ME0016257 FL Primary

Addresses

Primary practice location

9299 Coral Reef Dr
Ste 104
Miami, FL 33157

Mailing address

9299 Coral Reef Dr
Ste 104
Miami, FL 33157
Phone (305) 251-2240

Other identifiers 2

IdentifierTypeStateIssuer
91471OtherFLMEDICARE PROVIDER NUMBER
054260100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1265519391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9299 CORAL REEF DR",
            "address_2": "STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33157",
            "telephone_number": "305-251-2240",
            "fax_number": "305-238-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9299 CORAL REEF DR",
            "address_2": "STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33157",
            "telephone_number": "305-251-2240",
            "fax_number": "305-238-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL REEF ORTHOPAEDIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "MILLHERSER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-251-2240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0016257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "91471",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054260100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.