Active NPI
Mark Michael, DO
- Orthopaedic Surgery of the Spine Physician
- Palm Harbor, FL
National Provider Identifier
1134745482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- OS23442
- Practice address
- 3519 Palm Harbor Blvd Ste B
Palm Harbor, FL 34683-1416 - Phone
- (813) 336-4461
- Fax
- (813) 336-4466
- NPI assigned
- Jun 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 1134745482 | MN | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | OS23442 | FL | Primary |
Addresses
Primary practice location
3519 Palm Harbor Blvd Ste B
Palm Harbor, FL 34683-1416
Mailing address
3519 Palm Harbor Blvd Ste B
Palm Harbor, FL 34683-1416
Phone (813) 336-4461
Other practice location 1
17849 Hunting Bow Cir Ste 101
Lutz, FL 33558-5397
Phone (813) 336-4461
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3519 Palm Harbor Blvd
Suite B
Palm Harbor, FL 34683
3519 Palm Harbor Blvd
Suite B
Palm Harbor, FL 34683-1416
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1134745482 | MN | MD | Orthopaedic Surgery of the Spine Physician |
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.
-
- Neurological Surgery Physician
- Lutz, FL
- NPI 1093178311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1134745482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3519 PALM HARBOR BLVD STE B",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346831416",
"telephone_number": "813-336-4461",
"fax_number": "813-336-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3519 PALM HARBOR BLVD STE B",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346831416",
"telephone_number": "813-336-4461",
"fax_number": "813-336-4466"
}
],
"practiceLocations": [
{
"address_1": "17849 Hunting Bow Cir Ste 101",
"address_purpose": "LOCATION",
"city": "Lutz",
"state": "FL",
"postal_code": "335585397",
"country_code": "US",
"telephone_number": "813-336-4461",
"fax_number": "813-336-4466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHAEL",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-23",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MN",
"license": "1134745482",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "FL",
"license": "OS23442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.