Individual provider Active NPI

Edward Michaelson, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1013909977
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
ME14617 Issued in FL
Practice address
2030 W McNab Rd
Fort Lauderdale, FL 33309-1002
Phone
(954) 401-7505
NPI assigned
Aug 17, 2005
Last updated
Jun 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME0014617 FL
Legal Medicine (M.D./D.O.) Physician 209800000X ME14617 FL
Sleep Medicine (Internal Medicine) Physician 207RS0012X ME14617 FL Primary
Independent Medical Examiner Physician 202C00000X ME14617 FL

Addresses

Primary practice location

2030 W McNab Rd
Fort Lauderdale, FL 33309-1002

Mailing address

6278 N Federal Hwy
Suite #454
Fort Lauderdale, FL 33308-1916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109000619 FL Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Pulmonary Disease 6901870757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Solutions Inc Pulmonary Disease CurrentSince Dec 29, 2012 Accepting new patients
Advanced Diagnostic Solutions Inc. CurrentSince Dec 29, 2012 Accepting new patients
Pulmonary Medicine Consultants, P.a Pulmonary Disease Past Accepting new patients

Locations

3633 Little Rd
Ste 103
Trinity, FL 34655
Phone (352) 293-2810

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1013909977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6278 N FEDERAL HWY",
            "address_2": "SUITE #454",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 W MCNAB RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091002",
            "telephone_number": "954-401-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0014617",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME14617",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME14617",
            "primary": true
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "FL",
            "license": "ME14617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.