MELISSA DIETER (NPI# 1922561091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922561091 |
| Entity Type | Individual |
| Full Name | MELISSA DIETER |
| Other Name | MELISSA WOERTZ |
| Credential | PA-C |
| Practice Address |
29412 Taralane Dr Punta Gorda FL 33982-1209 |
| Practice Telephone | 3525148917 |
| Mailing Telephone | 3525148917 |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2019-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9112103 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
29412 TARALANE DR |
| City | PUNTA GORDA |
| State | FL |
| Zip Code | 33982-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437600160 | We Care In-home Services, Inc. | Home Health | 46990 Bermont Rd, Punta Gorda, FL 33982 | 2016-10-18 |
| 1790089035 | Catherine C Paradiso | Nurse Practitioner | 26601 Airport Rd, Punta Gorda, FL 33982 | 2010-12-30 |
| 1710193248 | Peter James Lallone | Pharmacist | 27680 Bermont Rd., Punta Gorda, FL 33982 | 2007-05-14 |
| 1700912698 | Niraj D Banjara | Pharmacist | 27680 Bermont Road, Punta Gorda, FL 33982 | 2007-02-26 |
| 1598848053 | Bruce D Macdonald | Radiology | 36261 Washington Loop Rd., Punta Gorda, FL 33982 | 2006-10-20 |
| 1104923614 | Diagnostic Mobile X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 28100 Challenger Blvd, Suite 112, Punta Gorda, FL 33982 | 2006-09-19 |
| 1205857679 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 27680 Bermont Rd, Punta Gorda, FL 33982 | 2006-07-21 |
| 1902909203 | Karen Lee Cantz | Pharmacy Technician | 27680 Bermont Rd, Punta Gorda, FL 33982 | 2006-09-06 |
| 1063054377 | John Archer LLC | Clinic/Center | 2013 River Basin Ter, Punta Gorda, FL 33982-1106 | 2019-10-09 |
| 1841308046 | Christine Sue Smith | Nurse Practitioner | 29199 Livingston Dr, Punta Gorda, FL 33982-1212 | 2006-08-28 |
| Find all providers in zip 33982 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062925 | Walker Daniel Hinson | Physician Assistant | 3320 Sugarloaf Key Rd, Punta Gorda, FL 33955-4658 | 2019-09-12 |
| 1871840769 | Jo Ann Thompson | Physician Assistant | 25092 Olympia Ave Unit 500, Punta Gorda, FL 33950-3935 | 2012-08-09 |
| 1164749719 | Larry D. Rand | Physician Assistant | 27289 Voyageur Dr., Punta Gorda, FL 33983 | 2010-04-22 |
| 1659744480 | Viking Emergency Physicians, LLC | Physician Assistant | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | 2015-11-02 |
| 1477925386 | Anemone Emergency Physicians, LLC | Physician Assistant | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | 2015-10-30 |
| 1649537143 | Jordan Kimberly Desruisseaux | Physician Assistant | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | 2012-04-20 |
| 1063719318 | Punta Gorda Hma Physician Management LLC | Physician Assistant | 713 E Marion Ave, Suite 133, Punta Gorda, FL 33950-3872 | 2011-02-23 |
| 1396799003 | Paul Wright | Physician Assistant | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295525 | Asahel Romero | Physician Assistant | 13228 Canna Lily Dr, Orlando, FL 32824-5067 | 2020-11-07 |
| 1629679360 | Samantha Lee Zavada | Physician Assistant | 9459 Silver Pine Loop, Fort Myers, FL 33967-5152 | 2020-11-07 |
| 1235730177 | Emily Figueroa Vega | Physician Assistant | 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 | 2020-11-06 |
| 1922609114 | Jeannine Castaneda Calderon | Physician Assistant | 816 Arbor Pointe Ave, Minneola, FL 34715-6052 | 2020-11-04 |
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1891396131 | Whiplashmd, LLC | Physician Assistant | 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 | 2020-11-03 |
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | PUNTA GORDA |
| Zip Code | 33982 |
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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.