Active NPI
Melinda B Hierholzer, D.O.
- Pediatrics Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS11250
- Practice address
- 9611 W Broward Blvd
Plantation, FL 33324-2334 - Phone
- (954) 924-7000
- NPI assigned
- Feb 24, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS11250 | FL | Primary |
| Pediatrics Physician | 208000000X | OT12341 | PA |
Addresses
Primary practice location
9611 W Broward Blvd
Plantation, FL 33324-2334
Mailing address
700 8TH Ave W Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4000
Other practice location 1
11260 Sullivan St
Riverview, FL 33578-2140
Phone (813) 689-7571
Other practice location 2
4972 Town Center Pkwy Unit 301
Jacksonville, FL 32246-8596
Phone (904) 642-6100
Other practice location 3
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 971-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14F0W | Other | FL | BCBS OF FLORIDA |
| 003743100 | Medicaid | FL |
Other names 1
- Melinda B Sarge
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT12341 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Emergency Services LLC | Pediatrics | Current | Accepting new patients |
| Tampa Bay Emergency Physicians LLC | Past | Accepting new patients | |
| After Hours Pediatrics, Inc. | Past | Accepting new patients |
Locations
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
Interoperability endpoints
- mhierholzer@pa.trimed.direct-ci.com
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
Pediatrics
-
- Clinic/Center
- Tampa, FL
- NPI 1992746879
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1114977428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1669641692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 8TH AVE W STE 101",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342214737",
"telephone_number": "941-776-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9611 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242334",
"telephone_number": "954-924-7000"
}
],
"practiceLocations": [
{
"address_1": "11260 Sullivan St",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335782140",
"country_code": "US",
"telephone_number": "813-689-7571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4972 Town Center Pkwy Unit 301",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322468596",
"country_code": "US",
"telephone_number": "904-642-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3100 E Fletcher Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336134613",
"country_code": "US",
"telephone_number": "813-971-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIERHOLZER",
"first_name": "MELINDA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-24",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS11250",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OT12341",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "14F0W",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003743100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELINDA",
"last_name": "SARGE",
"middle_name": "B",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.