JOHN L. MICHAELOS (NPI# 1851353239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851353239 |
| Entity Type | Individual |
| Full Name | JOHN L. MICHAELOS |
| Credential | M.D. |
| Practice Address |
1030 W Bay Dr Largo FL 33770-3225 |
| Practice Telephone | 7275852200 |
| Practice Fax Number | 7275849239 |
| Mailing Telephone | 7275852200 |
| Mailing Fax Number | 7275849239 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2013-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME68672 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS FLORIDA PROVIDER ID | 27298 | 01 |
| FL | AETNA PROVIDER ID | 0797481 | 01 |
| FL | 379316800 | 05 |
| Street Address |
1030 W BAY DR |
| City | LARGO |
| State | FL |
| Zip Code | 33770-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003475138 | Victoria Huynh | Optometrist | 1030 W Bay Dr, Largo, FL 33770-3276 | 2019-06-12 |
| 1659555951 | Brookdale Home Health LLC | Home Health | 1030 W Bay Dr, Suite 101, Largo, FL 33770-3225 | 2007-12-21 |
| 1902860455 | Louis John Michaelos | Ophthalmology | 1030 W Bay Dr, Largo, FL 33770-3225 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780981779 | Lee Shettle Do Pa | Ophthalmology | 13113 66th St N, Largo, FL 33773-1812 | 2011-02-28 |
| 1649356775 | Philip L. Shettle D.o., P.a. | Ophthalmology | 670 N. Clearwater - Largo Road, Largo, FL 33770-2377 | 2006-10-31 |
| 1285644914 | Frank Seidl | Ophthalmology | 2770 E Bay Dr, Largo, FL 33771-2469 | 2006-08-08 |
| 1023016243 | Philip Lee Shettle | Ophthalmology | 13113 66th St, Largo, FL 33773-1812 | 2005-07-12 |
| 1427056548 | Philip Leroy Shettle | Ophthalmology | 670 Clearwater Largo Rd N, Suite A, Largo, FL 33770-2377 | 2005-07-12 |
| 1033112156 | Stacia H Goldey | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2005-05-23 |
| 1679936991 | Kirkland Castellano | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2016-04-04 |
| 1225411622 | Maria L. Adams | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2015-07-02 |
| 1528440856 | Brandon Connor Clair | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2015-06-23 |
| 1043646672 | Bradley Philip Oneill | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2013-09-14 |
| Find all providers in LARGO | ||||
Please comment or provide details below to improve the information on JOHN L. MICHAELOS.
| 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.