Individual provider Active NPI

Megan Matassini Ziemer, D.P.M

  • Podiatrist
  • Winter Haven, FL
National Provider Identifier
1891127304
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3761 Issued in FL
Practice address
950 1St St S
Winter Haven, FL 33880-3665
Phone
(863) 295-5604
Fax
(863) 295-5398
NPI assigned
Aug 7, 2013
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3761 FL Primary

Addresses

Primary practice location

950 1St St S
Winter Haven, FL 33880-3665

Mailing address

950 1St St S
Winter Haven, FL 33880-3665
Phone (813) 495-6473

Other identifiers 1

IdentifierTypeStateIssuer
PO3761OtherFLPODIATRY LICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620001699 FL Practitioner - Podiatry 0042501298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialist Doctors Group LLCGroup PAC ID 8123202215, 4 clinicians

Practice addresses (Care Compare)

210 N Alexander St
Plant City, FL 33563-4302
Phone (813) 719-3525

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3761FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialist Doctors Group LLC CurrentSince Mar 17, 2025 Accepting new patients
Specialist Doctors Group LLC Podiatrist CurrentSince Mar 17, 2025 Accepting new patients
Martin T Girling DPM PA Past Accepting new patients
Family Medicine Associates Past Accepting new patients

Locations

1443 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (813) 754-3668

210 N Alexander St
Plant City, FL 33563
Phone (813) 719-3525

210 N Alexander St
Ste B
Plant City, FL 33563
Phone (813) 719-3525

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1891127304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803665",
            "telephone_number": "813-495-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803665",
            "telephone_number": "863-295-5604",
            "fax_number": "863-295-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEMER",
        "first_name": "MEGAN",
        "middle_name": "MATASSINI",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2021-09-23",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY LICENSE",
            "identifier": "PO3761",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.