Organization Active NPI

Michael Jon Rinaldi DO PA

  • Otolaryngology Physician
  • Crestview, FL
National Provider Identifier
1043207640
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
OS7850 Issued in FL
Legal business name
MICHAEL JON RINALDI DO PA
Practice address
150 E Redstone Ave
Suite B
Crestview, FL 32539-5357
Phone
(850) 983-7778
Fax
(850) 983-7785
NPI assigned
Sep 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Dr. Michael J Rinaldi, DO
Title
Owner
Phone
(850) 983-7778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X OS7850 FL Primary

Addresses

Primary practice location

150 E Redstone Ave
Suite B
Crestview, FL 32539-5357

Mailing address

5230 Willing St
Milton, FL 32570-4971
Phone (850) 983-7778

Other identifiers 1

IdentifierTypeStateIssuer
271433700MedicaidFL

National Provider Directory

National Provider Directory

Locations

150 Redstone Ave W
Ste B
Crestview, FL 32536
Phone (850) 983-7778

5216 Willing St
Milton, FL 32570

5230 Willing St
Milton, FL 32570

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1043207640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 WILLING ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704971",
            "telephone_number": "850-983-7778",
            "fax_number": "850-983-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E REDSTONE AVE",
            "address_2": "SUITE B",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395357",
            "telephone_number": "850-983-7778",
            "fax_number": "850-983-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL JON RINALDI DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "RINALDI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-983-7778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "OS7850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271433700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.