DR. MICHAEL SCOTT PORTILLO


Address: 300 Pinellas St, Clearwater, FL 33756-3804
Phone: 7274627000

DR. MICHAEL SCOTT PORTILLO (NPI# 1326207093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326207093
Entity Type Individual
Full Name DR. MICHAEL SCOTT PORTILLO
Credential M.D.
Practice Address 300 Pinellas St
Clearwater
FL 33756-3804
Mailing Address Po Box 917368
Orlando
FL 32891-0001
Practice Telephone 7274627000
Mailing Telephone 7274413711
Enumeration Date 2008-06-06
Last Update Date 2011-12-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD00049340 WA Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
ME93865 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS 1454D 01
FL 001026200 05
FL RR MEDICARE P00788707 01

Other Providers MICHAEL PORTILLO

NPI Name Taxonomy Address Enumeration
1306235957 Michael Richard Portillo Family Medicine 680 Guzzi Ln Ste 106, Sonora, CA 95370-5288 2015-01-21
1457418873 Michael Portillo Counselor 1861 Silverwood Dr, Concord, CA 94519-1352 2007-01-03

Office Location

Street Address 300 PINELLAS ST
City CLEARWATER
State FL
Zip Code 33756-3804

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497750723 Robert J Rosen Anesthesiology 300 Pinellas St, Clearwater, FL 33756-3892 2005-06-14
1184239949 Kyle Harden Emergency Medicine 300 Pinellas St, Clearwater, FL 33756-3892 2020-09-09
1396362992 Michael Anthony Lake Pharmacist 300 Pinellas St, Clearwater, FL 33756-3804 2020-06-29
1457902082 Alexandra Lee Johnson Student in an Organized Health Care Education/Training Program 300 Pinellas St, Clearwater, FL 33756-3804 2019-09-25
1215588348 Sarah Hartney Registered Nurse 300 Pinellas St, Clearwater, FL 33756-3804 2019-09-20
1134774045 Angela-theresa C Green Nurse Practitioner 300 Pinellas St, Clearwater, FL 33756-3804 2019-08-07
1225680663 Kasey Mckenna Nurse Practitioner 300 Pinellas St, Clearwater, FL 33756-3804 2019-07-16
1972163665 Megan Marie Donnelly Nurse Practitioner 300 Pinellas St, Clearwater, FL 33756-3804 2019-06-16
1104480409 Janie E Martinez Anesthesiologist Assistant 300 Pinellas St, Clearwater, FL 33756-3804 2019-04-23
1528621976 Shaunese Nicole Lee Counselor 300 Pinellas St, Clearwater, FL 33756-3804 2019-04-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659998060 Guidewell Emergency Medicine Doctors, LLC Clinic/Center 1603 Missouri Ave, Clearwater, FL 33756 2020-07-01
1578104527 M.k. El-yousef, M.d. LLC Psychiatry & Neurology 1555 S. Ft Harrison Ave, Clearwater, FL 33756 2019-10-01
1124672670 Kayla Marie Flook Counselor 1106 Druid Rd S Suite 201, Clearwater, FL 33756 2019-08-01
1285192989 Amy Elizabeth Dickson Social Worker 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 2019-03-12
1548789951 J. Carson Woolwine O.d. Pllc. Optometrist 912 S. Missouri Ave., Clearwater, FL 33756 2017-09-18
1760912349 Kelly Morrissey Counselor 1240 South Fort Harrison Ave., Clearwater, FL 33756 2017-06-15
1972033744 Edward Lewis Smith Audiologist-Hearing Aid Fitter 820 S Fort Harrison, Clearwater, FL 33756 2017-06-14
1700310422 Dedicated Senior Medical Center Clearwater, LLC. Non-Pharmacy Dispensing Site 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 2017-04-19
1306268339 Theresa Anne Ritz Counselor 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 2014-01-10
1649513276 Kerry Eileen Reller Family Medicine 708 Druid Rd. E, Clearwater, FL 33756 2013-04-02
Find all providers in zip 33756

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548695521 Jason Dona Messinger Radiology 1106 Druid Rd S Ste 302, Clearwater, FL 33756-3841 2013-09-09
1871842252 Christine Lynne Felix Radiology 2028 Arbor Drive, Clearwater, FL 33760 2012-08-31
1003080730 Gerald L Friedman Radiology 1882 Mccauley Rd, Clearwater, FL 33765-1511 2008-04-14
1396872263 Ryan Joseph Polselli Radiology 118 Hampton Rd, #106, Clearwater, FL 33759-4109 2007-02-27
1992804934 Lidia Linetsky Radiology 611 Druid Road East, Suite 302, Clearwater, FL 33756 2006-09-22
1366548760 Gehad Anthony Aboud Radiology 501 S. Lincoln Ave., Ste#15, Clearwater, FL 33756 2006-09-15
1417927278 David V Jelaso Radiology 80 Rogers St, #10a, Clearwater, FL 33756-5296 2006-01-25
1306839493 Clearwater Resources Inc Radiology 2250 Drew Street, Clearwater, FL 33765 2005-08-24
1730470311 Morton Plant Mease Health Services, Inc Radiology 400 Pinellas St, Suite 100, Clearwater, FL 33756 2011-04-29
1760773550 Morton Plant Mease Health Services Inc Radiology 400 Pinellas St, Suite 101, Clearwater, FL 33756 2011-04-27
Find all providers in CLEARWATER

Competitor

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City CLEARWATER
Zip Code 33756

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Dataset Information

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.

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