NPIMap

Organization Active NPI

Macmillan Paul and Burkarth PA

  • Specialist
  • Port St Lucie, FL
National Provider Identifier
1215123781
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0070321 Issued in FL
Legal business name
MACMILLAN PAUL AND BURKARTH PA
Practice address
1701 SE Hillmoor Dr Ste 8
Port St Lucie, FL 34952-7552
Phone
(772) 398-9998
Fax
(772) 398-9986
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Dr. Michael Donald Paul, M.DNPI 1669403200
Title
President
Phone
(772) 398-9998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0070321 FL Primary

Addresses

Primary practice location

1701 SE Hillmoor Dr Ste 8
Port St Lucie, FL 34952-7552

Mailing address

1701 SE Hillmoor Dr Ste 8
Port St Lucie, FL 34952-7552
Phone (772) 398-9998

Other names 1

  • treasure coast neurosurgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405000280 FL Part B Supplier - Clinic/Group Practice 6901899210 Receives reassigned benefits from 1 practitioner
Practice locations: Port Saint Lucie, FL

National Provider Directory

National Provider Directory

Locations

1701 SE Hillmoor Dr
#8
Port Saint Lucie, FL 34952
Phone (772) 398-9998

1701 SE Hillmoor Dr
Ste 8
Port St Lucie, FL 34952
Phone (561) 335-4000

453 SE Riverside Dr
Stuart, FL 34994
Phone (561) 220-4820

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1215123781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR STE 8",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-398-9998",
            "fax_number": "772-398-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR STE 8",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-398-9998",
            "fax_number": "772-398-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACMILLAN PAUL AND BURKARTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-398-9998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0070321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "treasure coast neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.