Individual provider Active NPI

Martina Marie Nimeth, PA-C

  • Physician Assistant
  • Oviedo, FL
National Provider Identifier
1922048875
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102555 Issued in FL
Practice address
100 Alexandria Blvd
Suite 1
Oviedo, FL 32765-8298
Phone
(407) 359-7997
Fax
(407) 359-6662
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102555 FL Primary

Addresses

Primary practice location

100 Alexandria Blvd
Suite 1
Oviedo, FL 32765-8298

Mailing address

100 Alexandria Blvd
Suite 1
Oviedo, FL 32765-8298
Phone (407) 359-7997

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000363 FL Practitioner - Physician Assistant 8820030737 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9102555FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Centers of Brevard County LLC Physician Assistant CurrentSince Nov 10, 2020 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Mar 5, 2020 Accepting new patients
Urgent Care Centers of Brevard County LLC Physician Assistant CurrentSince Nov 10, 2020 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Aug 10, 2020 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Mar 5, 2020 Accepting new patients
Adventist Health System /Sunbelt, Inc. Physician Assistant CurrentSince Aug 10, 2020 Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients
Osprey Emergency Physicians LLC Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

Interoperability endpoints

  • Direct secure messaging: mnimeth71740@epicdirect.hf.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1922048875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALEXANDRIA BLVD",
            "address_2": "SUITE 1",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658298",
            "telephone_number": "407-359-7997",
            "fax_number": "407-359-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALEXANDRIA BLVD",
            "address_2": "SUITE 1",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658298",
            "telephone_number": "407-359-7997",
            "fax_number": "407-359-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMETH",
        "first_name": "MARTINA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.