DR. SANJAY MEHRA (NPI# 1720010127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720010127 |
| Entity Type | Individual |
| Full Name | DR. SANJAY MEHRA |
| Credential | M.D. |
| Practice Address |
1144 Cypress Glen Cir Kissimmee FL 34741-7559 |
| Practice Telephone | 4077092400 |
| Practice Fax Number | 4074835902 |
| Mailing Telephone | 4074835900 |
| Mailing Fax Number | 4074835902 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME 92812 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 274061300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629136205 | Sanjay Mehra | Internal Medicine | 115 Heart Dr, East Carolina Heart Institute At Ecu, Greenville, NC 27834-8944 | 2006-12-05 |
| Street Address |
1144 CYPRESS GLEN CIR |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-7559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277743 | Cristina Isabel Johnson | Nurse Practitioner | 1144 Cypress Glen Cir, Kissimmee, FL 34741-7559 | 2020-08-27 |
| 1669722203 | Lizeth Alejandra Heredia | Nurse Practitioner | 1144 Cypress Glen Cir, Kissimmee, FL 34741-7559 | 2012-09-11 |
| 1871851956 | Frances Enid Gonzalez | Pediatrics | 1144 Cypress Glen Cir, Kissimmee, FL 34741-7559 | 2012-04-26 |
| 1053573972 | Yesha Niranjan Modi | Pediatrics | 1144 Cypress Glen Cir, Kissimmee, FL 34741-7559 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201752 | Blueberry Medical Pa | Pediatrics | 246 Oakhurst Cir, Kissimmee, FL 34744-4752 | 2019-02-11 |
| 1477084267 | Kamela Daos | Pediatrics | 1975 S John Young Pkwy Ste 204, Kissimmee, FL 34741-0603 | 2017-03-23 |
| 1194271700 | Torneria Pediatrics | Pediatrics | 206 W. Oak St, Suite A-1, Kissimmee, FL 32835 | 2016-09-01 |
| 1902294382 | Pediatric Professionals, LLC | Pediatrics | 1207 E Vine St Ste A, Kissimmee, FL 34744-3545 | 2015-01-07 |
| 1568808533 | Zubair Zakiullah | Pediatrics | 1501-1507 Bill Beck Blvd, Kissimmee, FL 34744-4428 | 2013-05-17 |
| 1760694632 | Carlos A. Torneria | Pediatrics | 206 W Oak St, Suite A-1, Kissimmee, FL 34741-4448 | 2007-05-04 |
| 1275697542 | Martha Ivon Acosta | Pediatrics | 201 Hilda St Ste 15, Kissimmee, FL 34741-2359 | 2006-12-21 |
| 1891853313 | Nora E Bolanos | Pediatrics | 319 W Oak St, Kissimmee, FL 34741-4421 | 2006-12-05 |
| 1245272384 | Edel W Valdes-vega | Pediatrics | 1412 W Vine St, Kissimmee, FL 34741-4051 | 2006-06-12 |
| 1225094063 | Pilar R Gonzales | Pediatrics | 841 E Oak St, Kissimmee, FL 34744-5838 | 2006-04-21 |
| Find all providers in KISSIMMEE | ||||
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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.