Individual provider Active NPI

Michelle Dawn Giglio, PA

  • Surgical Physician Assistant
  • Orlando, FL
National Provider Identifier
1265595367
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA 9103975 Issued in FL
Practice address
58 W Michigan St
Orlando, FL 32806-4453
Phone
(407) 649-7686
Fax
(407) 649-7692
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

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
Surgical Physician Assistant 363AS0400X PA 9103975 FL Primary

Addresses

Primary practice location

58 W Michigan St
Orlando, FL 32806-4453

Mailing address

58 W Michigan St
Orlando, FL 32806-4453
Phone (407) 649-7686

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9103975FLMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265595367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064453",
            "telephone_number": "407-649-7686",
            "fax_number": "407-649-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 W MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064453",
            "telephone_number": "407-649-7686",
            "fax_number": "407-649-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIGLIO",
        "first_name": "MICHELLE",
        "middle_name": "DAWN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 9103975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, 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.

Verify at the official NPI Registry.