Messieh Orthopedic Clinic PA

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

ME54966 Issued in FL

Legal business name

MESSIEH ORTHOPEDIC CLINIC PA

Practice address

1601 6TH St SE
Winter Haven, FL 33880-4605

Phone

(863) 419-9301

Fax

(863) 419-9304

NPI assigned

May 10, 2007

Last updated

Aug 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sonia Roman

Title

Billing Clerk

Phone

(863) 419-9301

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel S Messieh, MD

  • Orthopaedic Surgery Physician
  • Winter Haven, FL
  • NPI 1831106111
  Medicare reassignment Care Compare group NPD
• Eliana Hernandez, PA-C

  • Physician Assistant
  • Beverly Hills, CA
  • NPI 1083477962

  FL

  Medicare reassignment Care Compare group
• Roan Cadavona, ARNP

  • Family Nurse Practitioner
  • Winter Haven, FL
  • NPI 1093206104
  Medicare reassignment NPD
• Faith E Johnson, ARNP-C

  • Adult Health Nurse Practitioner
  • Winter Haven, FL
  • NPI 1104299056
  Medicare reassignment NPD
• Brittaney Bishop Mann, PA-C

  • Physician Assistant
  • Greenville, SC
  • NPI 1497147334

  FL

  Medicare reassignment
• Mary Rose Robertson, ARNP-C MSN

  • Nurse Practitioner
  • Haines City, FL
  • NPI 1467682310
  NPD (past)
• Ashley Idiaquez Kinnaird, NP

  • Adult Health Nurse Practitioner
  • Greenville, NC
  • NPI 1699069997
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1972718450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804605",
            "telephone_number": "863-419-9301",
            "fax_number": "863-419-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 6TH ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804605",
            "telephone_number": "863-419-9301",
            "fax_number": "863-419-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESSIEH ORTHOPEDIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "863-419-9301"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "ME54966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "DC 8324",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Keury Merette Almonte, RN
• Robert M Merritt, M.D.
• Samuel S Messieh, MD
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• Metro Star Services LLC
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• David Ira Metzendorf, DPM

• Adult Reconstructive Orthopaedic Surgery Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.