Dr Roman Misiow, MD is a
Pediatrics physician based in Dana Point, California. Dr Roman Misiow is licensed to practice in California (license number AFE26663) and his current practice location is 24232 Porto Fino, Dana Point, California. He can be reached at his office (for appointments etc.) via phone at
(949) 661-8461.
NPI number for Dr Roman Misiow is 1205999000 and his current mailing address is 24232 Porto Fino, Dana Point, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205999000.
Physician's Profile
| Full Name | Dr Roman Misiow |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 24232 Porto Fino, Dana Point, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205999000
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Roman Misiow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205999000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | AFE26663 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Roman Misiow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Roman Misiow, MD
24232 Porto Fino,
Dana Point, CA 92629-4512
Ph: (949) 661-8461 | Dr Roman Misiow, MD
24232 Porto Fino,
Dana Point, CA 92629-4512
Ph: (949) 661-8461 |
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