Individual provider Active NPI

Michael D Garside, PA-C

  • Medical Physician Assistant
  • Tampa, FL
National Provider Identifier
1033207634
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9101885 Issued in FL
Practice address
7550 N. Dale Mabry Hwy
Tampa, FL 33614-3226
Phone
(813) 885-4706
Fax
(813) 885-9463
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9101885 FL Primary

Addresses

Primary practice location

7550 N. Dale Mabry Hwy
Tampa, FL 33614-3226

Mailing address

7550 N Dale Mabry Hwy
Tampa, FL 33614-3226
Phone (813) 885-4706

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041229000763 FL Practitioner - Physician Assistant 2567420185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Urgent Care Centers LLCGroup PAC ID 5991878316, 10 clinicians

Practice addresses (Care Compare)

10730 State Rd
New Port Richey, FL 34655-2265
Phone (727) 372-3888

4112 Mariner Blvd
Spring Hill, FL 34609-2468
Phone (352) 684-3288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1033207634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143226",
            "telephone_number": "813-885-4706",
            "fax_number": "813-885-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 N. DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143226",
            "telephone_number": "813-885-4706",
            "fax_number": "813-885-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARSIDE",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.