Active NPI
Mia Elisa Branch, MD
- Obstetrics & Gynecology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME87804
- Practice address
- 5002 W Lemon St
Tampa, FL 33609 - Phone
- (813) 286-0033
- Fax
- (813) 282-1806
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD418731 | PA | |
| Hospitalist Physician | 208M00000X | ME87804 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | ME87804 | FL | Primary |
Addresses
Primary practice location
5002 W Lemon St
Tampa, FL 33609
Mailing address
PO Box 25317
Tampa, FL 33622-5317
Phone (813) 286-0033
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79088 | Other | FL | BCBS |
| 267607900 | Medicaid | FL | |
| MD418731 | Other | PA | PA MEDICAL LICENSE |
| P00093876 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, LA, DC, AR, MD, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-5400
1555 Exchange Ave
Conway, AR 72032-7824
Phone (501) 585-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD418731 | PA | MD | Obstetrics & Gynecology Physician |
| ME87804 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHP of Louisiana PC | Obstetrics & Gynecology | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DHP of Arkansas PA | Obstetrics & Gynecology | Current | Accepting new patients |
| DHP of Pennsylvania PC | Obstetrics & Gynecology | Current | Accepting new patients |
| DHP of Virginia PC | Obstetrics & Gynecology | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| DHP of New Jersey PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| DHP of Manatee PA | Obstetrics & Gynecology | Current | Accepting new patients |
| DHP of Piedmont PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Women's Care Florida LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Past | Accepting new patients |
Locations
1555 Exchange Ave
Conway, AR 72032
Phone (501) 202-2300
3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000
901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
5002 W Lemon St
Tampa, FL 33609
101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
65 James St
Edison, NJ 08820
Phone (732) 321-7010
250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000
1111 Franklin St
Ste 300
Johnstown, PA 15905
Phone (814) 534-9203
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
Organizations & group practices 12
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.
-
- Obstetrics & Gynecology Physician
- Little Rock, AR
- NPI 1992068878
-
- Obstetrics & Gynecology Physician
- Salisbury, MD
- NPI 1427313717
-
- Obstetrics & Gynecology Physician
- Mangonia Park, FL
- NPI 1134771611
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
- Obstetrics & Gynecology Physician
- Alexandria, LA
- NPI 1013303056
-
- Obstetrics & Gynecology Physician
- Edison, NJ
- NPI 1275896516
-
- Obstetrics & Gynecology Physician
- Fayetteville, GA
- NPI 1316202609
-
dba Conemaugh Physician Group Cresson
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1629008388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25317",
"city": "TAMPA",
"state": "FL",
"postal_code": "336225317",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 W LEMON ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "33609",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "MIA",
"middle_name": "ELISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD418731",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME87804",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME87804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "79088",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267607900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA MEDICAL LICENSE",
"identifier": "MD418731",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00093876",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.