Dominique Mesidor MD P.a.

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

ME86398 Issued in FL

Legal business name

DOMINIQUE MESIDOR MD P.A.

Practice address

1839 Central Ave
St Petersburg, FL 33713-8900

Phone

(727) 896-1300

Fax

(727) 896-1311

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dominique Mesidor, M.D.

Title

President

Phone

(727) 328-7400

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hector Felix Mesidor, M,D.

  • General Practice Physician
  • St Petersburg, FL
  • NPI 1457685133
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1720113558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16226",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337336226",
            "telephone_number": "727-896-1300",
            "fax_number": "727-896-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-896-1300",
            "fax_number": "727-896-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIQUE MESIDOR MD P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "MESIDOR",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-328-7400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME86398",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME86398",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "U1254X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD FLORIDA",
            "identifier": "37818",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynne P Dollar, CNM ARNP
• Dolor Strategies LLC
• Dolphin Diagnostics LLC
• Jaime Dombrowski
• Shannon Domfort
• Don B Knapp II MD
• Donald B Morris M.D., P.a.
• Donald J. Krippendorf PA
• Ashleyrae Donald, D.O.
• Amber T Donaldson, DPT

• Surgical Critical Care Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Surgical Critical Care Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.