DR. MICHAEL D REILLY (NPI# 1528045168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528045168 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D REILLY |
| Credential | DNP, ARNP, NP-C |
| Practice Address |
2500 Citrus Blvd Leesburg FL 34748-3063 |
| Mailing Address |
10762 Se Us Highway 441 Belleview FL 34420-3805 |
| Practice Telephone | 3523475225 |
| Practice Fax Number | 3523471073 |
| Mailing Telephone | 3523475225 |
| Mailing Fax Number | 3523471073 |
| Enumeration Date | 2005-12-26 |
| Last Update Date | 2020-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3185122 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3185122 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000144500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10762 Se Us Highway 441, Belleview, FL 344203805 | 3523475225 | 3523471073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788980 | Michael Falcon Reilly | Counselor | 932 Ward Ave Ste 490, Honolulu, HI 96814-2193 | 2014-12-03 |
| 1922395714 | Michael J Reilly | Internal Medicine | 1235 Old York Rd Ste 121, Abington, PA 19001-3840 | 2011-06-30 |
| 1902105729 | Michael William Reilly | Social Worker | 481 8th Ave., Suite 520, New York, NY 10001 | 2011-03-18 |
| 1700017548 | Michael C Reilly | Occupational Therapy Assistant | 1633 Cypress Lane, Paradise, CA 95969 | 2009-07-28 |
| 1912100280 | Michael Patrick Reilly | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1285835785 | Michael Patrick Reilly | Speech-Language Pathologist | 4029 N Mallard Ln, Doylestown, PA 18901-1233 | 2007-05-30 |
| 1699701961 | Michael T Reilly | Orthopaedic Surgery | 5301 N. Dixie Hwy, Suite 203, Ft Lauderdale, FL 33334-3403 | 2006-06-25 |
| 1447236963 | Michael S Reilly | Dentist | 21 Rolfe Sq, Cranston, RI 02910-2809 | 2005-12-16 |
| 1235112244 | Michael Jay Reilly | Family Medicine | 14828 Greyhound Ct Ste 100, Carmel, IN 46032-5016 | 2005-11-23 |
| 1508328048 | Michael J Reilly | Student in an Organized Health Care Education/Training Program | 1685 Highland Ave, Madison, WI 53705-2281 | 2019-04-03 |
| Street Address |
2500 CITRUS BLVD |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577089 | Injury and Rehab Centers of Central Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2500 Citrus Blvd, Leesburg, FL 34748-3063 | 2020-08-08 |
| 1821562406 | Neurological Specialists of Central Florida, LLC | Psychiatry & Neurology | 2500 Citrus Blvd, Leesburg, FL 34748-3063 | 2019-01-16 |
| 1083827604 | David George Cleaver | Pharmacist | 2500 Citrus Blvd, Leesburg, FL 34748-7203 | 2007-05-08 |
| 1770658957 | Anette Nieves | Psychiatry & Neurology | 2500 Citrus Blvd, Leesburg, FL 34748-3063 | 2006-11-22 |
| 1912008145 | Henryk T Malczak | General Practice | 2500 Citrus Blvd, Leesburg, FL 34748-3063 | 2006-09-26 |
| 1417902255 | Belleview Community Pharmacy | Pharmacy | 2500 Citrus Blvd, Leesburg, FL 34748-3063 | 2006-05-23 |
| 1184678294 | Tlc Rehab Inc | Physical Therapist | 2500 Citrus Blvd, Leesburg, FL 34748-7203 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416094 | Tia Tenease Barriner | Nurse Practitioner | 1626 Sterns Dr, Leesburg, FL 34748-2019 | 2020-04-17 |
| 1679102818 | Heather Georgiana Pickle | Nurse Practitioner | 172 Fowler Dr, Leesburg, GA 31763-5012 | 2020-04-08 |
| 1952940876 | Brittany Breen | Nurse Practitioner | 44055 Riverside Pkwy Ste 100, Leesburg, VA 20176-5155 | 2019-12-23 |
| 1245871128 | Shayna Johnson | Nurse Practitioner | 33825 Secret Hill Dr, Leesburg, FL 34788-3845 | 2019-10-02 |
| 1144785882 | Dharma Deekshita Lakshman Rao | Nurse Practitioner | 5819 Windsong Oak Dr, Leesburg, FL 34748-3474 | 2019-02-06 |
| 1821553827 | Angela L Tatro | Nurse Practitioner | 27637 Us Highway 27, Leesburg, FL 34748-9033 | 2019-02-04 |
| 1265996516 | Monica Cherise Jenkins | Nurse Practitioner | 2113 Griffin Rd, Leesburg, FL 34748-3303 | 2019-01-30 |
| 1780154708 | Orlandria Michelle Bennett-reed | Nurse Practitioner | 129 Oakland Pkwy, Leesburg, GA 31763-7201 | 2018-12-03 |
| 1902375694 | Erica Shackelford | Nurse Practitioner | 540 Fort Evans Rd Ste 204, Leesburg, VA 20176-3379 | 2018-11-26 |
| 1851888242 | Shaneidra Hayes | Nurse Practitioner | 115 Pelham Dr, Leesburg, GA 31763-4913 | 2018-04-20 |
| Find all providers in LEESBURG | ||||
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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.