Organization Active NPI

Michael L Metzger MD PA

  • Interventional Cardiology Physician
  • Boynton Beach, FL
National Provider Identifier
1205077286
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME97956 Issued in FL
Legal business name
MICHAEL L METZGER MD PA
Practice address
10151 Enterprise Center Blvd
Suite 204
Boynton Beach, FL 33437-3761
Phone
(561) 515-0080
Fax
(561) 300-8620
NPI assigned
Mar 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Michael Lawrence Metzger, M.D.
Title
Owner
Phone
(561) 515-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X ME97956 FL Primary

Addresses

Primary practice location

10151 Enterprise Center Blvd
Suite 204
Boynton Beach, FL 33437-3761

Mailing address

10151 Enterprise Center Blvd
Suite 204
Boynton Beach, FL 33437-3761
Phone (561) 515-0080

Other identifiers 2

IdentifierTypeStateIssuer
ME97956OtherFLMEDICAL LICENSE
001004700MedicaidFL

National Provider Directory

National Provider Directory

Locations

11195 S Jog Rd
Ste 6
Boynton Beach, FL 33437
Phone (561) 404-0697

10151 Entrprs Cntr Blvd
Ste 204
Boynton Beach, FL 33437
Phone (561) 405-3000

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1205077286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CENTER BLVD",
            "address_2": "SUITE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373761",
            "telephone_number": "561-515-0080",
            "fax_number": "561-300-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CENTER BLVD",
            "address_2": "SUITE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373761",
            "telephone_number": "561-515-0080",
            "fax_number": "561-300-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L METZGER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-515-0080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME97956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME97956",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.