Active NPI
Coral Reef Orthopaedic Associates PA
- Orthopaedic Surgery Physician
- Miami, FL
National Provider Identifier
1265519391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME0016257
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91471 | Other | FL | MEDICARE PROVIDER NUMBER |
| 054260100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.