Individual provider Active NPI

Michael Alan Arnholtz, PA

  • Medical Physician Assistant
  • Navarre, FL
National Provider Identifier
1235118167
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9105444 Issued in FL
Practice address
2760 Sherwood Dr
Navarre, FL 32566
Phone
(850) 217-3241
Fax
(850) 936-7939
NPI assigned
Jan 10, 2006
Last updated
May 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X PA9105444 FL Primary

Addresses

Primary practice location

2760 Sherwood Dr
Navarre, FL 32566

Mailing address

2760 Sherwood Dr
Navarre, FL 32566
Phone (850) 217-3241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000844 FL Practitioner - Physician Assistant 5890810477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crestview Urgent Care, Inc. PastSince Jun 22, 2014 Accepting new patients
Coastal Radiology Associates PA Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1235118167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 SHERWOOD DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "32566",
            "telephone_number": "850-217-3241",
            "fax_number": "850-936-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 SHERWOOD DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "32566",
            "telephone_number": "850-217-3241",
            "fax_number": "850-936-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNHOLTZ",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

Verify at the official NPI Registry.