MELISSA CATHERINE MIZESKO M.D. NPI 1003026139

Pediatrics (Pediatric Rheumatology) in Corpus Christi, TX

NPI 1003026139 Individual Female Years of Experience 17 Pediatrics Pediatric Rheumatology PECOS Enrolled Accepts Medicare Approved Payment

About MELISSA MIZESKO

Melissa Mizesko is a pediatrician established in Corpus Christi, Texas and her medical specialization is pediatrics (pediatric rheumatology) with more than 17 years of experience. She graduated from Wake Forest University School Of Medicine in 2005. The NPI number of Melissa Mizesko is 1003026139 and was assigned on May 2007. The practitioner's primary taxonomy code is 2080P0216X with license number P7814 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.

A pediatrician like Melissa Catherine Mizesko M.d. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Melissa Mizesko is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Melissa Mizesko is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1003026139

Provider Name MELISSA CATHERINE MIZESKO M.D.
Provider Location Address3533 S. ALAMEDA CORPUS CHRISTI, TX 78411
Provider Mailing Address3533 S. ALAMEDA CORPUS CHRISTI, TX 78411
GenderFemale
NPI Entity TypeIndividual
Medical School NameWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2005
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-24-2007
Last Update Date12-04-2020


Primary Taxonomy

Taxonomy Code2080P0216X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Rheumatology
License No.P7814
License StateTX
Taxonomy DescriptionA pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Business Address

MELISSA CATHERINE MIZESKO M.D.
3533 S. ALAMEDA
CORPUS CHRISTI, TX
ZIP 78411
Phone: (361) 694-4864
Fax: (361) 851-6867

Get Directions


Mailing Address

MELISSA CATHERINE MIZESKO M.D.
3533 S. ALAMEDA
CORPUS CHRISTI, TX
ZIP 78411
Phone: (361) 694-4864
Fax: (361) 851-6867



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
3276750-03MEDICAID (05)TX

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861658205DRISCOLL CHILDREN'S HOSPITAL
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)3533 S. ALAMEDA
CORPUS CHRISTI, TX 78411
(361) 694-5000
1588281414 JASON GEORGE PRINCE MD
Individual
Student in an Organized Health Care Education/Training Program3533 S. ALAMEDA MEDICAL EDUCATION
CORPUS CHRISTI, TX 78411
(361) 694-5465

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.