Harvey S. Mishner, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME84341 Issued in FL

Practice address

11505 Palmbrush Trail
Suite 220
Lakewood Ranch, FL 34202-5180

Phone

(941) 747-2090

Fax

(941) 556-7785

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

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.

• Lakewood Ranch Primary Care LLC

  • Family Medicine Physician
  • Lakewood Ranch, FL
  • NPI 1518922947
  NPD (past) Authorized official
• Joseph T. Pallan, M.D, P.a

  • Internal Medicine Physician
  • Lutherville, MD
  • NPI 1881864346
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1790777159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 ABBEY GLN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022423",
            "telephone_number": "941-747-2090",
            "fax_number": "941-556-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 PALMBRUSH TRAIL",
            "address_2": "SUITE 220",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025180",
            "telephone_number": "941-747-2090",
            "fax_number": "941-556-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHNER",
        "first_name": "HARVEY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME84341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "542094452",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "110247734",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266425900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51948",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Miles
• Jaclyn Miller
• Meredith M. Miller, PA-C
• Mariss Minton, SLP
• Bianca Elise Miret, DC
• Avantika Mishra, MD
• Bella Mogaka
• Kristi Smith Mohammadbhoy
• Celia Molina Sanchez
• Louie R Molina

• Internal Medicine Physician in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.