Active NPI
Michael P Spuza, MD
- Family Medicine Physician
- Seminole, FL
National Provider Identifier
1205054806
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jun 20, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME60429
- Practice address
- 10700 Johnson Blvd
Suite 3
Seminole, FL 33772-4821 - Phone
- (727) 397-2500
- Fax
- (727) 397-2489
- NPI assigned
- Apr 22, 2007
- Last updated
- Jul 1, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME60429 | FL | Primary |
Addresses
Primary practice location
10700 Johnson Blvd
Suite 3
Seminole, FL 33772-4821
Mailing address
10700 Johnson Blvd
Suite 3
Seminole, FL 33772-4821
Phone (727) 397-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12852 | Other | FL | BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME60429 | FL | MD | Family Medicine 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction Medicine (Family Medicine) Physician
- Seminole, FL
- NPI 1720278377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1205054806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 JOHNSON BLVD",
"address_2": "SUITE 3",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337724821",
"telephone_number": "727-397-2500",
"fax_number": "727-397-2489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 JOHNSON BLVD",
"address_2": "SUITE 3",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337724821",
"telephone_number": "727-397-2500",
"fax_number": "727-397-2489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPUZA",
"first_name": "MICHAEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-22",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME60429",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "12852",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.