Organization Active NPI

John L Meisenheimer MD PA

  • MOHS-Micrographic Surgery Physician
  • Orlando, FL
National Provider Identifier
1982920757
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME0049727 Issued in FL
Legal business name
JOHN L MEISENHEIMER MD PA
Practice address
7300 Sandlake Commons Blvd
Suite 105
Orlando, FL 32819-8050
Phone
(407) 352-2444
Fax
(407) 363-2869
NPI assigned
Apr 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Dr. John L Meisenheimer, MDNPI 1033101647
Title
Owner
Phone
(407) 352-2444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X ME0049727 FL Primary

Addresses

Primary practice location

7300 Sandlake Commons Blvd
Suite 105
Orlando, FL 32819-8050

Mailing address

7300 Sandlake Commons Blvd
Suite 105
Orlando, FL 32819-8050
Phone (407) 352-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100524000892 FL Part B Supplier - Clinic/Group Practice 7618006057 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0688832John L Meisenheimer MD PA7300 Sandlake Commons Blvd Ste 105, Orlando, FL 32819ComplianceOct 27, 2026

National Provider Directory

National Provider Directory

Locations

7300 Sandlake Commons Blvd
Ste 105
Orlando, FL 32819
Phone (407) 352-2444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1982920757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SANDLAKE COMMONS BLVD",
            "address_2": "SUITE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198050",
            "telephone_number": "407-352-2444",
            "fax_number": "407-363-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SANDLAKE COMMONS BLVD",
            "address_2": "SUITE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198050",
            "telephone_number": "407-352-2444",
            "fax_number": "407-363-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L MEISENHEIMER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "MEISENHEIMER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-352-2444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME0049727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.