Michael J Naughton, M.D., PH.D., LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

12757 Issued in AL

Practice address

501 South 3Rd Street
Gadsden, AL 35901

Phone

(256) 547-8680

Fax

(256) 547-8701

NPI assigned

Feb 3, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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 and National Provider Directory roles.

• Michael J Naughton MD PHD LLC

  • Specialist
  • Gadsden, AL
  • NPI 1841479029
  Medicare reassignment Authorized official
• Zynia Pua-Vines, MD, PC

  • Family Medicine Physician
  • Gadsden, AL
  • NPI 1346361912
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1164494167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015301",
            "telephone_number": "256-547-8680",
            "fax_number": "256-547-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SOUTH 3RD STREET",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "35901",
            "telephone_number": "256-547-8680",
            "fax_number": "256-547-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUGHTON",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "M.D., PH.D., LLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "12757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER #",
            "identifier": "19406",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529919240",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.