DR. DOMINIQUE MESIDOR (NPI# 1033205091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033205091 |
| Entity Type | Individual |
| Full Name | DR. DOMINIQUE MESIDOR |
| Credential | MD |
| Practice Address |
2010 59th St W Suite 2200 Bradenton FL 34209-4616 |
| Practice Telephone | 9417945621 |
| Practice Fax Number | 9417611532 |
| Mailing Telephone | 9417945621 |
| Mailing Fax Number | 9417611532 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
044539 | GA | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
ME0086398 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 267667200 | 05 | |
| FL | MEDICARE | U1254X | 01 |
| Street Address |
2010 59TH ST W SUITE 2200 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061934 | Michael F Oswanski | Surgery | 2010 59th St W, Suite 2200, Bradenton, FL 34209-4616 | 2005-05-31 |
| 1093249443 | Musculoskeletal Institute Chartered | Clinic/Center | 2010 59th St W, Suite 2200, Bradenton, FL 34209-4689 | 2017-04-12 |
| 1083150502 | Chasity Kentros | Nurse Anesthetist, Certified Registered | 2010 59th St W, #4650, Bradenton, FL 34209-4616 | 2017-01-07 |
| 1497123228 | Samantha Hardwicke | Physician Assistant | 2010 59th St W, 2200, Bradenton, FL 34209-4616 | 2015-09-10 |
| 1093066516 | Jason Alexandre Jaffe | Physician Assistant | 2010 59th St W, Suite 2200, Bradenton, FL 34209-4616 | 2012-09-24 |
| 1619262813 | West Florida Anesthesia Trauma Services LLC | Nurse Anesthetist, Certified Registered | 2010 59th St W, Ste 4650, Bradenton, FL 34209-4616 | 2011-06-15 |
| 1720373228 | Bradenton Cardiology Physician Network LLC | Internal Medicine | 2010 59th St W, Ste. 4200, Bradenton, FL 34209-4616 | 2011-06-13 |
| 1902198948 | West Florida Trauma Network, LLC | Oral & Maxillofacial Surgery | 2010 59th St W, Suite 2200, Bradenton, FL 34209-4616 | 2011-05-10 |
| 1275840324 | Amanda Suzanne Urzykowski | Nurse Anesthetist, Certified Registered | 2010 59th St W, Bradenton, Bradenton, FL 34209-4616 | 2010-09-10 |
| 1518296516 | Sherri Lynn Anne Davidson | Nurse Practitioner | 2010 59th St W, Suite 3600, Bradenton, FL 34209-4616 | 2009-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437579489 | Brandon Masi Parker | Surgery | 1611 Nw 12th Ave # 215, Miami, FL 33136-1005 | 2014-04-17 |
| 1508203100 | Kathleen Relihan | Surgery | 77 W Underwood St Ste 200, Orlando, FL 32806-1122 | 2013-05-23 |
| 1992998934 | Vivek Vijay Tirmal | Surgery | 607 Ne 11th Ave, Fort Lauderdale, FL 33304-4695 | 2007-08-23 |
| 1467657890 | Khaled Basiouny | Surgery | 603 7th St S Ste 500, St Petersburg, FL 33701-4734 | 2007-06-16 |
| 1417028614 | Derek Powell Brock | Surgery | 836 Lakeside Dr, North Palm Beach, FL 33408-3810 | 2006-11-11 |
| 1548278856 | Patrick Gonzalez Jr. | Surgery | 12651 N Dale Mabry Hwy, #272204, Tampa, FL 33688-9001 | 2006-08-03 |
| 1124061346 | Dana A. Taylor | Surgery | 1234 Se Magnolia Ext Unit 1, Ocala, FL 34471-3778 | 2006-06-14 |
| 1730163643 | Joseph Mcginn | Surgery | 8950 N Kendall Dr Ste 607w, Miami, FL 33176-2139 | 2005-12-05 |
| 1902429475 | Giovanni Jose Flumeri-perez | Surgery | 1431 Sw 1st Ave Bldg Suite7, Ocala, FL 34471-6500 | 2020-05-19 |
| 1194384297 | Jorge A. Vega Jr., M.d., Pllc | Surgery | 3375 Burns Rd Ste 206, Palm Beach Gardens, FL 33410-4361 | 2019-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DOMINIQUE MESIDOR.
| 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.