Individual provider Active NPI

Michael George Neam, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Lake Worth, FL
National Provider Identifier
1114000650
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
46775 Issued in FL
Practice address
5065 State Road 7
Suite 102
Lake Worth, FL 33449-4615
Phone
(561) 209-2400
Fax
(561) 209-2401
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 46775 FL Primary

Addresses

Primary practice location

5065 State Road 7
Suite 102
Lake Worth, FL 33449-4615

Mailing address

5065 State Road 7
Suite 102
Lake Worth, FL 33449-4615
Phone (561) 209-2400

Other identifiers 1

IdentifierTypeStateIssuer
041686000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46775FLMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Urgent Healthcare LLC PastSince Jun 2, 2019 Accepting new patients
Complete Urgent Healthcare LLC Past Accepting new patients

Organizations & group practices 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1114000650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 STATE ROAD 7",
            "address_2": "SUITE 102",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334494615",
            "telephone_number": "561-209-2400",
            "fax_number": "561-209-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 STATE ROAD 7",
            "address_2": "SUITE 102",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334494615",
            "telephone_number": "561-209-2400",
            "fax_number": "561-209-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAM",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "46775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041686000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.