NPIMap

Individual provider Active NPI

Michael A Horseman, MD

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1245297993
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME59220 Issued in FL
Practice address
4410 W Newberry Rd
Suite B
Gainesville, FL 32607-5200
Phone
(352) 372-7800
Fax
(352) 372-7879
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME59220 FL Primary

Addresses

Primary practice location

4410 W Newberry Rd
Suite B
Gainesville, FL 32607-5200

Mailing address

4410 W Newberry Rd
Suite B
Gainesville, FL 32607-5200
Phone (352) 372-7800

Other identifiers 6

IdentifierTypeStateIssuer
370481599MedicaidFL
080096643OtherFLMEDICARE RAILROAD
6198218OtherFLCIGNA
219714OtherFLAVMED
15244OtherFLBLUE CROSS BLUE SHIELD
066441OtherFLVISTA HEALTHPLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012001286 FL Practitioner - Family Practice 0941262885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Family Practice Associates PAGroup PAC ID 7416919352, 4 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

4410 Newberry Rd
Suite B
Gainesville, FL 32607-2290
Phone (352) 372-7800

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Gainesville, FL, CCN 107486
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates PA Family Medicine CurrentSince Oct 1, 2000 Accepting new patients
Atlas Diagnostics Inc PastSince Oct 1, 2000 Accepting new patients

Locations

4410 Newberry Rd
Ste B
Gainesville, FL 32607
Phone (352) 372-7800

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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245297993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W NEWBERRY RD",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075200",
            "telephone_number": "352-372-7800",
            "fax_number": "352-372-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W NEWBERRY RD",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075200",
            "telephone_number": "352-372-7800",
            "fax_number": "352-372-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSEMAN",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME59220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370481599",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080096643",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6198218",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "219714",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "15244",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA HEALTHPLAN",
            "identifier": "066441",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.