Organization Active NPI

Integrative Surgery

  • Colon & Rectal Surgery Physician
  • Miami Beach, FL
National Provider Identifier
1528397056
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME93472 Issued in FL
Legal business name
INTEGRATIVE SURGERY
Practice address
4302 Alton Rd
Suite 105
Miami Beach, FL 33140-2891
Phone
(786) 522-9968
Fax
(305) 571-7838
NPI assigned
Dec 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Dr. Carolyn Beth Messere, M.D.NPI 1700878642
Title
Physician
Phone
(786) 522-9968

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
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X ME93472 FL Primary

Addresses

Primary practice location

4302 Alton Rd
Suite 105
Miami Beach, FL 33140-2891

Mailing address

PO Box 403506
Miami Beach, FL 33140-1506
Phone (786) 522-9968

Other identifiers 1

IdentifierTypeStateIssuer
273556300MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1528397056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403506",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331401506",
            "telephone_number": "786-522-9968",
            "fax_number": "305-571-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUITE 105",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "786-522-9968",
            "fax_number": "305-571-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "MESSERE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "786-522-9968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME93472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273556300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.