Vladimir Ishmetov, SA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

1400 NW 12TH Ave
Miami, FL 33136-1003

Phone

(305) 689-5601

Fax

(305) 243-3107

NPI assigned

Aug 29, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1457071847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-689-5601",
            "fax_number": "305-243-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361003",
            "telephone_number": "305-689-5601",
            "fax_number": "305-243-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHMETOV",
        "first_name": "VLADIMIR",
        "credential": "SA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odalis Isern
• Mary I Ishii, PSY.D.
• Isabel Ishizaki
• Adrian S Ishkanian, MD
• Fazilat Ishkanian, MD
• Sabriya B Ishoof, MD
• Charles Isidore, D.C.
• Isidoro Zarco M.D. P.a.
• Isidro a Lopez MD PA
• Hacer Isildak, MD

• Surgical Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.