POONAM MISHRA


Address: 401 N Wickham Rd, Suite H, Melbourne, FL 32935-8659
Phone: 3217575105

POONAM MISHRA (NPI# 1306836952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306836952
Entity Type Individual
Full Name POONAM MISHRA
Credential D.O.
Practice Address 401 N Wickham Rd
Suite H
Melbourne
FL 32935-8659
Practice Telephone 3217575105
Practice Fax Number 3217575104
Mailing Telephone 3217575105
Mailing Fax Number 3217575104
Enumeration Date 2005-10-25
Last Update Date 2015-02-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
593360315 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS MAB GROUP 40462 01
FL BCBS PROVIDER ID 57174 01

Other Providers POONAM MISHRA

NPI Name Taxonomy Address Enumeration
1194099333 Poonam Mishra Internal Medicine 10 Center Dr., Nih/niddk, Bethesda, MD 20892-0001 2012-03-06
1437312337 Poonam Mishra Hospitalist 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 2008-07-10

Office Location

Street Address 401 N WICKHAM RD
SUITE H
City MELBOURNE
State FL
Zip Code 32935-8659

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669750873 Brevard Hma Hme, LLC Durable Medical Equipment & Medical Supplies 401 N Wickham Rd, Suite K, Melbourne, FL 32935-8659 2011-07-22
1295051845 Ashwini Healthcare LLC Pharmacy 401 N Wickham Rd, Suite W and X, Melbourne, FL 32935-8659 2010-04-07
1134231079 The Affordable Apothecary Inc Pharmacy 401 N Wickham Rd, Ste E, Melbourne, FL 32935-8659 2006-08-31
1477562403 Medical Associates of Brevard LLC Clinic/Center 401 N Wickham Rd, Suite H, Melbourne, FL 32935-8659 2006-08-07
1366463226 Jay E. Olsson, D.o., P.a. Physical Medicine & Rehabilitation 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 2006-07-23
1144264904 Jay Edward Olsson Physical Medicine & Rehabilitation 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 2006-06-15
1841234721 Christopher Stanley Cole Physician Assistant 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 2006-06-15
1265415103 Michelle Jane Madan Nurse Practitioner 401 N Wickham Rd, Suite S, Melbourne, FL 32935-8659 2005-11-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407412018 Aleecia Estime Nurse Practitioner 401 N Wickham Rd Ste S, Melbourne, FL 32935 2019-05-20
1669948261 Lisa Marie Sarkees Social Worker 1503 Spring Drive, Melbourne, FL 32935 2018-10-22
1407355399 Eugene Slaughter Case Manager/Care Coordinator 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 2018-02-06
1588173173 Gregory M Mcdermand Respiratory Therapist, Certified 2745 Revolution St, Unit 101, Melbourne, FL 32935 2017-09-26
1386173649 M Shami Nurse Practitioner 401 N Wickham Rd. Suite S, Melbourne, FL 32935 2017-06-08
1588102297 Chiro Choice A Limited Liability Company Clinic/Center 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 2017-02-02
1124574835 A Loving Touch Private Home Care Home Health 1595 Palmwood Drive, Melbourne, FL 32935 2016-09-01
1538616099 Pedro Triana Villamil Specialist/Technologist, Other 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 2016-09-01
1528424132 Lisa Forsythe Acupuncturist 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 2016-01-12
1528432028 Harbor City Pharmacy Inc Pharmacy 503 Harbor City Blvd., Melbourne, FL 32935 2015-11-20
Find all providers in zip 32935

Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588705768 First Care Family Physicians Family Medicine 1051 Eber Blvd, Ste 101, Melbourne, FL 32904-8768 2007-02-09
1255780615 Stephen M Giorgianni Do Pllc Family Medicine 1341 Bedford Dr Ste B, Melbourne, FL 32940-1986 2016-06-07
1962544718 Wuesthoff Health Services Inc Family Medicine 8060 Spyglass Hill Rd, Melbourne, FL 32940-7983 2007-02-12
1659399129 John M Gayden Jr. Family Medicine 1251 Hickory St, Melbourne, FL 32901-3221 2006-07-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811598105 Foundations Medical Center Pllc Family Medicine 4467 Commons Dr W Ste F-g, Destin, FL 32541-8454 2020-11-04
1831704345 Vasundhara Kuchibhotla Family Medicine 1630 Sw 75th Ter, Gainesville, FL 32607-6604 2020-09-11
1356952170 Discreet Health Solutions, LLC Family Medicine 7124 Pelican Island Dr, Tampa, FL 33634-7463 2020-08-14
1033728019 Nana Aisha Garba Family Medicine 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 2020-07-27
1043838451 Lisa M Parker Family Medicine 7955 Bay St Ste 2, Sebastian, FL 32958-3282 2020-07-13
1699390336 Rosenie B Jasmin Family Medicine Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 2020-06-09
1588287239 Sarai L Gonzalez Family Medicine 16182 Nw 21st St, Pembroke Pines, FL 33028-1255 2020-05-28
1184247033 Wellness Solutions 2020 LLC Family Medicine 2300 N Commerce Pkwy Ste 321, Weston, FL 33326-3257 2020-05-27
1780207910 Homeville Medical Care Family Medicine 11040 Nw 18th Ct, Plantation, FL 33322-3407 2020-05-21
1942829536 Health Medical Ultra Limited Liability Company Family Medicine 1760 Havendale Blvd Nw, Winter Haven, FL 33881-1224 2020-04-13
Find all providers with the same taxonomy

Competitor

Search similar providers

City MELBOURNE
Zip Code 32935

Improve Information

Please comment or provide details below to improve the information on POONAM MISHRA.

Dataset Information

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.

Trending Searches