Adam Milton Mizeracki, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME142380 Issued in FL

Practice address

2202 State Ave Ste 303
Panama City, FL 32405-4590

Phone

(850) 872-3939

Fax

(850) 872-3938

NPI assigned

Sep 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MD Health ClinicsGroup PAC ID 5991019325, 3 clinicians

Francis Badu Essien PCGroup PAC ID 6103301395, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amizeracki168863@direct.tmfhs.org

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.

• MD Health Clinics

  • General Practice Physician
  • Pleasant Hill, CA
  • NPI 1518207596
  Medicare reassignment Care Compare group NPD
• Francis Badu Essien PC

  • General Practice Physician
  • Pleasant Hill, CA
  • NPI 1114872462
  Medicare reassignment Care Compare group
• CTD Network LLC

  • Multi-Specialty Clinic/Center
  • Plant City, FL
  • NPI 1851039762
  Medicare reassignment NPD
• Sacred Heart Health System, Inc.

  • Ambulatory Family Planning Facility
  • Pensacola, FL
  • NPI 1962453308
  NPD
• MD-HC, Inc

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1013720879
  NPD
• Harwood Healthcare Corp

  • Urgent Care Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1134999543
  NPD (past)

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1922316389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277894",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847894",
            "telephone_number": "615-373-7600",
            "fax_number": "866-347-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE STE 303",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054590",
            "telephone_number": "850-872-3939",
            "fax_number": "850-872-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZERACKI",
        "first_name": "ADAM",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-20",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME142380",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME142380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac L Mitchell, M.D.
• Melissa Mitchell
• Nancy Mitchell
• Sharon M Mitchell, RPH
• Thomas C Mitchell, M.D.
• Mma Wellness
• Lynda Nicole Mockler, DC
• Raymond A Mockler, M.D.
• Michelle Marie Moffa, DDS
• Ahmed Abo Baker Mohamed, MD

• Interventional Cardiology Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.