DR. JOHN L MEISENHEIMER (NPI# 1033101647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033101647 |
| Entity Type | Individual |
| Full Name | DR. JOHN L MEISENHEIMER |
| Credential | MD |
| Practice Address |
7300 Sandlake Commons Blvd Suite 105 Orlando FL 32819-8050 |
| Practice Telephone | 4073522444 |
| Practice Fax Number | 4073632869 |
| Mailing Telephone | 4073522444 |
| Mailing Fax Number | 4073632869 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2007-09-24 |
| NPI Deactivation Date | 03/25/2006 |
| NPI Reactivation Date | 2006-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | ME49727 | FL | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME49727 | FL | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
ME49727 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PIN | 04058 | 01 |
| Street Address |
7300 SANDLAKE COMMONS BLVD SUITE 105 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819-8050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986468 | Janet M. Robison | Orthopaedic Surgery | 7300 Sandlake Commons Blvd, Suite 127, Orlando, FL 32819-8050 | 2005-07-15 |
| 1720446420 | Durable Medical Equipment Specialists | Physical Therapist | 7300 Sandlake Commons Blvd, Suite 305, Orlando, FL 32819-8050 | 2016-02-09 |
| 1760857627 | Melissa Bartlett | Physical Therapy Assistant | 7300 Sandlake Commons Blvd, Suite 120, Orlando, FL 32819-8050 | 2015-12-03 |
| 1023485679 | Sand Lake Cancer Center, Pa | Specialist | 7300 Sandlake Commons Blvd, Suite 200, Orlando, FL 32819-8050 | 2015-08-31 |
| 1598141293 | Christine Mara | Physical Therapist | 7300 Sandlake Commons Blvd, Orlando, FL 32819-8050 | 2015-08-04 |
| 1962888693 | Nathalie Jasmin Watzinger | Physical Therapist | 7300 Sandlake Commons Blvd, Suite 127, Orlando, FL 32819-8050 | 2015-08-04 |
| 1235511908 | Amber Korb | Physical Therapist | 7300 Sandlake Commons Blvd, Suite 305, Orlando, FL 32819-8050 | 2015-06-18 |
| 1093076770 | Ivf Orlando, Inc | Obstetrics & Gynecology | 7300 Sandlake Commons Blvd, Suite 227, Orlando, FL 32819-8050 | 2012-05-30 |
| 1811271760 | Audra Ellen Leedy | Physician Assistant | 7300 Sandlake Commons Blvd, Suite 200, Orlando, FL 32819-8050 | 2011-10-10 |
| 1982920757 | John L Meisenheimer Md Pa | Dermatology | 7300 Sandlake Commons Blvd, Suite 105, Orlando, FL 32819-8050 | 2010-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
| 1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
| 1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
| 1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
| 1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
| 1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
| 1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
| Find all providers in zip 32819 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427050178 | Christopher Paul Crotty | Dermatology | 7335 W Sand Lake Rd Ste 200, Orlando, FL 32819-5539 | 2005-08-12 |
| 1194046144 | David A Weinstein | Dermatology | 9975 Tavistock Lakes Blvd Ste 360, Orlando, FL 32827-7665 | 2010-06-14 |
| 1982920757 | John L Meisenheimer Md Pa | Dermatology | 7300 Sandlake Commons Blvd, Suite 105, Orlando, FL 32819-8050 | 2010-04-19 |
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|---|---|---|---|---|
| 1144827577 | Onspot-fl LLC. | Dermatology | 16461 Domestic Ave, Fort Myers, FL 33912-6008 | 2020-10-08 |
| 1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
| 1154815546 | Forefront Dermatology, S.c. | Dermatology | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-06-19 |
| 1437517802 | Total Vein and Skin LLC | Dermatology | 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 | 2016-02-01 |
| 1861812851 | Anand Haryani | Dermatology | 8745 N Us Highway 1, Sebastian, FL 32958-7524 | 2014-04-17 |
| 1164841797 | Michael Montuno | Dermatology | 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 | 2014-04-10 |
| 1861813719 | Hillcrest Dermatology and Plastic Surgery P.a. | Dermatology | 733 Highway 466, Lady Lake, FL 32159-6340 | 2013-12-19 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1619232501 | Alliant Dermatology Pa | Dermatology | 8620 E County Road 466, The Villages, FL 32162-3670 | 2012-07-07 |
| 1114218328 | Leavitt Medical Assocaittes of Florida Inc | Dermatology | 1426 E Bloomindale Ave, Valrico, FL 33596 | 2011-04-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.