Michael a Garvin DPM PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO1984 Issued in FL

Legal business name

MICHAEL A GARVIN DPM PA

Practice address

1791 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5479

Phone

(772) 335-7171

Fax

(772) 335-2119

NPI assigned

Apr 24, 2007

Last updated

Apr 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leigh Ellis

Title

Billing Manager

Phone

(772) 335-7171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Allen Garvin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Port St Lucie, FL
  • NPI 1013957166
  Medicare reassignment

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1043438831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525479",
            "telephone_number": "772-335-7171",
            "fax_number": "772-335-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525479",
            "telephone_number": "772-335-7171",
            "fax_number": "772-335-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A GARVIN DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "772-335-7171"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Messina
• Edmond Louis Metellus
• Joanise Metelus
• MGM Labs LLC
• Jessi Micalizzi
• Michael a Garvin DPM PA
• Michael a Garvin, DPM, PA
• Michael a Garvin, DPM, PA
• Michael Bessos MD PA (Children of the World Pediatrics)
• Michael Papa, D.C., P.a.

• Foot & Ankle Surgery Podiatrist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.