Michael John Andriola, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME0012503 Issued in FL

Practice address

430 Morton Plant St
Suite 402
Clearwater, FL 33756-3398

Phone

(727) 461-8635

Fax

(727) 461-8648

NPI assigned

May 9, 2006

Last updated

Feb 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical Neurological Specialties, Inc.

  • Neurology Physician
  • Clearwater, FL
  • NPI 1659320992
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1144279985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10744",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337578744",
            "telephone_number": "727-532-0002",
            "fax_number": "727-266-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST",
            "address_2": "SUITE 402",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563398",
            "telephone_number": "727-461-8635",
            "fax_number": "727-461-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRIOLA",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0012503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047883100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• T'Keyah Jajuan Anderson, OTD
• Wayne C Anderson, M.D.
• Alexander Ignacio Andone, CRNA
• Andrea Holmes, MPH, LLC
• Erica Andrews, COTA/L
• Anesthesia Associates of Pinellas County
• Anesthesia Dynamics LLC
• Angela Brown Bulla LCSW
• Angelchild Homecare Corp Inc
• Angelic Hearts Home Care Services, LLC

• Neurology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.