Active NPI
Michael J Pagel, PA-C
- Physician Assistant
- Miami, FL
National Provider Identifier
1215099296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9101952
- Practice address
- 3511 NW 91St Avenue
US Southern Command Health Clinic
Miami, FL 33172 - Phone
- (305) 437-1148
- Fax
- (305) 224-6263
- NPI assigned
- Dec 15, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9101952 | FL | Primary |
Addresses
Primary practice location
3511 NW 91St Avenue
US Southern Command Health Clinic
Miami, FL 33172
Mailing address
8281 NW 165TH Ter
Miami Lakes, FL 33016-3480
Phone (786) 255-3132
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9101952 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215099296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8281 NW 165TH TER",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330163480",
"telephone_number": "786-255-3132",
"fax_number": "305-224-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 NW 91ST AVENUE",
"address_2": "US SOUTHERN COMMAND HEALTH CLINIC",
"city": "MIAMI",
"state": "FL",
"postal_code": "33172",
"telephone_number": "305-437-1148",
"fax_number": "305-224-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGEL",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9101952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.