Individual provider Active NPI

Paula M Miner, MD

  • Gynecology Physician
  • Melbourne, FL
National Provider Identifier
1598761306
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME135739 Issued in FL
Practice address
7125 Murrell Rd Ste E
Melbourne, FL 32940-7999
Phone
(321) 434-9571
Fax
(321) 434-9275
NPI assigned
Jun 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME135739 FL Primary
Obstetrics & Gynecology Physician 207V00000X 232346 NY

Addresses

Primary practice location

7125 Murrell Rd Ste E
Melbourne, FL 32940-7999

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Other practice location 1

55 Main Street
Suite 3
Essex Jct, VT 05452
Phone (802) 879-1802

Other identifiers 4

IdentifierTypeStateIssuer
024414800MedicaidFL
JI567ZOtherFLFL MEDICARE NUMBER
P02264888OtherFLRR MEDICARE
02551779MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180511002164 FL Practitioner - Obstetrics/Gynecology 5991778037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

8725 N Wickham Rd
Suite 200
Melbourne, FL 32940-2240
Phone (321) 434-9230

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME135739FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC Obstetrics & Gynecology CurrentSince May 1, 2018 Accepting new patients
Health First Medical Group, LLC CurrentSince May 1, 2018 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

7125 Murrell Rd
Ste E
Melbourne, FL 32940
Phone (321) 434-9571

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

8725 N Wickham Rd
Ste 200
Viera, FL 32940
Phone (321) 253-4673

Interoperability endpoints

  • Direct secure messaging: pminer27685@epicdirect.hf.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1598761306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 MURRELL RD STE E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407999",
            "telephone_number": "321-434-9571",
            "fax_number": "321-434-9275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Main Street",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Essex Jct",
            "state": "VT",
            "postal_code": "05452",
            "country_code": "US",
            "telephone_number": "802-879-1802",
            "fax_number": "802-878-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINER",
        "first_name": "PAULA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME135739",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "232346",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024414800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE NUMBER",
            "identifier": "JI567Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P02264888",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02551779",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.