DR. GREGORY A MICHAELS (NPI# 1821044553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821044553 |
| Entity Type | Individual |
| Full Name | DR. GREGORY A MICHAELS |
| Credential | MD |
| Practice Address |
63 Barkley Cir Ste. 100 & 101 Fort Myers FL 33907-4514 |
| Mailing Address |
13131 Corbel Cir #312 Fort Myers FL 33907-6833 |
| Practice Telephone | 2399383500 |
| Practice Fax Number | 2392780055 |
| Mailing Telephone | 2392672030 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G61922 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME82942 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
G61922 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME 82942 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE FRL | P00318896 | 01 |
| CIGNA | 5773317 | 01 | |
| AMERIGROUP | 226258 | 01 | |
| FL | 264701000 | 05 | |
| FL WC CERTIFICATION | ME82942 | 01 | |
| BCBSFL | O6452 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023205309 | Gregory Vincent Michaels | Technician/Technologist | 448 Delaware St, Tonawanda, NY 14150-3944 | 2007-10-01 |
| 1396884805 | Gregory C Michaels | Dentist | 823 N Columbus St, Lancaster, OH 43130-2549 | 2007-02-05 |
| Street Address |
63 BARKLEY CIR STE. 100 & 101 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-4514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730398629 | Florida Neurology Group | Psychiatry & Neurology | 63 Barkley Cir, Suite 100, Fort Myers, FL 33907-4514 | 2007-05-21 |
| 1881605244 | John Joseph Mcfadden | Nurse Anesthetist, Certified Registered | 63 Barkley Cir, Suite 104, Fort Myers, FL 33907-4514 | 2006-08-11 |
| 1548271919 | Susan Greene | Nurse Anesthetist, Certified Registered | 63 Barkley Cir, Suite 104, Fort Myers, FL 33907-4514 | 2006-08-11 |
| 1972514321 | Sharon Lowe | Nurse Anesthetist, Certified Registered | 63 Barkley Cir, Suite 104, Fort Myers, FL 33907-4514 | 2006-08-11 |
| 1033120324 | Center Anesthesia, Inc | Nurse Anesthetist, Certified Registered | 63 Barkley Cir, Suite 104, Fort Myers, FL 33907-4514 | 2006-08-11 |
| 1518907823 | Florida Radiology Leasing LLC | Radiology | 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907-4514 | 2006-06-07 |
| 1043258890 | Michael J Weiss | Radiology | 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907-4514 | 2006-06-03 |
| 1194763953 | James S Walters | Radiology | 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907-4514 | 2006-06-03 |
| 1457399594 | John L Howard | Radiology | 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907-4514 | 2006-06-02 |
| 1801834940 | Thomas G Presbrey | Radiology | 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907-4514 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669997961 | Sw Florida Radiology LLC | Radiology | 3949 Evans Ave Ste 301b, Fort Myers, FL 33901-9313 | 2017-08-08 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 1851752257 | Lillian Palmon | Radiology | 11250 Mahogany Run, Fort Myers, FL 33913-8114 | 2016-03-11 |
| 1770739260 | Winston Dacosta Irving | Radiology | 1244 Walden Dr, Fort Myers, FL 33901 | 2008-08-15 |
| 1366646424 | Louis Thomas Magas | Radiology | 6311 South Pointe Blvd, Fort Myers, FL 33919-4901 | 2007-06-13 |
| 1851330153 | David S Schwartz | Radiology | 3230 Cypress Marsh Dr, Fort Myers, FL 33905-6250 | 2006-06-05 |
| 1851345862 | Otto J Kunst | Radiology | 13151 Parkline Dr, Fort Myers, FL 33913-7929 | 2006-05-22 |
| 1124078241 | Adam Fueredi | Radiology | 3660 Broadway, Fort Myers, FL 33901-8005 | 2006-05-11 |
| 1235187808 | Gail M Santucci | Radiology | 8791 Conference Dr, Suite 1, Fort Myers, FL 33919-5822 | 2006-05-05 |
| 1538121116 | Laurie Lynn Gutstein | Radiology | 6013 W Riverside Dr, Fort Myers, FL 33919-1636 | 2006-04-06 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
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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.