DR. ISSA SEYED MIRMEHDI (NPI# 1972866846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972866846 |
| Entity Type | Individual |
| Full Name | DR. ISSA SEYED MIRMEHDI |
| Credential | M.D. |
| Practice Address |
3801 S Kanner Hwy Ste 200 Stuart FL 34994-4801 |
| Mailing Address |
Po Box 417 Stuart FL 34995-0417 |
| Practice Telephone | 7722212003 |
| Practice Fax Number | 7722860018 |
| Mailing Telephone | 7727812799 |
| Mailing Fax Number | 7727812716 |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0101262404 | VA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME121772 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Se Hospital Ave, Stuart, FL 34994 | 3108695847 |
| Street Address |
3801 S KANNER HWY STE 200 |
| City | STUART |
| State | FL |
| Zip Code | 34994-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157864 | George Harold Rittersbach Jr. | Surgery | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2005-07-11 |
| 1871138958 | Joseph Hamilton | Nurse Practitioner | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2019-11-12 |
| 1043750839 | Christopher Andrew Royall | Physician Assistant | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2017-02-28 |
| 1487193132 | Kelly Kriklava | Physician Assistant | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2017-02-14 |
| 1508240888 | Kadian Simmonds | Nurse Practitioner | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2015-07-16 |
| 1386033686 | Kira Jean De Gregorio | Advanced Practice Midwife | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2015-01-10 |
| 1689080376 | Kristen Mulcahy | Nurse Practitioner | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2014-07-02 |
| 1306282199 | Christopher Mark Begley | Internal Medicine | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2013-05-20 |
| 1679918635 | Lorenzo Digiorgio | Urology | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2013-05-05 |
| 1528402187 | Iker Newell Unzalu | Anesthesiology | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2013-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1255339685 | Samuel Scott Tapper | Surgery | 2169 Se Ocean Blvd, Stuart, FL 34996 | 2005-07-11 |
| 1699783241 | Julio Sanguily IIi | Surgery | 509 Se Riverside Dr, Ste 305, Stuart, FL 34994-2579 | 2006-08-03 |
| 1730108572 | Robert W. Garrett | Surgery | 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104394857 | George Scott Hall Sr. | Surgery | 9 Marsh Creek Rd, Fernandina Beach, FL 32034-6413 | 2018-11-09 |
| 1316413115 | Fox Vascular Experts, LLC | Surgery | 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 | 2018-10-18 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1598267593 | Joseph D Stillword, Md | Surgery | 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 | 2018-03-06 |
| 1386157006 | Beatriz Lam | Surgery | 2001 West 68 St, Cvicu, Hialeah, FL 33016 | 2017-11-16 |
| 1811421092 | Sunrise Vascular Center | Surgery | 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 | 2017-04-14 |
| 1962891838 | Global Trauma Systems, Inc | Surgery | 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 | 2015-01-15 |
| 1184013450 | Vas-q-lar, Inc | Surgery | 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 | 2015-01-09 |
| 1396147138 | Usa Vein Clinics of Miami, LLC | Surgery | 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 | 2014-09-24 |
| 1114336021 | Florida Vein Center, Inc | Surgery | 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 | 2014-08-05 |
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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.