Mickel Wray Anglin, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME91647 Issued in FL

Practice address

13045 Summerfield Square Dr
Riverview, FL 33578-7402

Phone

(813) 672-1385

Fax

(813) 672-8904

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Appalachian Mountain Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Robbinsville, NC
  • NPI 1780064832
  Medicare reassignment NPD
• Appalachian Mountain Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Asheville, NC
  • NPI 1336528314
  NPD
• Bayfront Enterprises Inc

  • Urgent Care Clinic/Center
  • St Petersburg, FL
  • NPI 1710963236
  NPD (past)
• Idelis Fedeslinda Arias de la Torre

  • General Practice Physician
  • Seffner, FL
  • NPI 1639747595

  Family Medicine

  NPD (past)
• Orlando Family Physicians, LLC

  • General Practice Physician
  • Orlando, FL
  • NPI 1912579673
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1013980267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13045 SUMMERFIELD SQUARE DRIVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33578",
            "telephone_number": "813-672-1385",
            "fax_number": "813-672-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13045 SUMMERFIELD SQUARE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787402",
            "telephone_number": "813-672-1385",
            "fax_number": "813-672-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLIN",
        "first_name": "MICKEL",
        "middle_name": "WRAY",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME91647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278352500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angels TCH Inc
• Angels TCH, LLC
• Hayley Grace Angiolieri
• Anglin Medical PA
• Korey R Anglin, APRN
• Tracy Lynn Angus, OTR/L
• Ankle & Foot Center of Tampa Bay
• Beth Ellen Anlas, D.O.
• Katerina Anthony, RBT
• Shynea Anthony, M.S.

• Family Medicine Physician in Riverview, FL
• Providers in Riverview, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.