Active NPI
Michael Edward Kaminsky, D.O.
- Anesthesiology Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 3416
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610 - Phone
- (352) 273-8610
- NPI assigned
- Aug 28, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OS14615 | FL | |
| General Practice Physician | 208D00000X | 20A11448 | CA | |
| Anesthesiology Physician | 207L00000X | 3416 | TN | Primary |
Addresses
Primary practice location
1600 SW Archer Rd
Gainesville, FL 32610
Mailing address
PO Box 100254
Gainesville, FL 32610-0254
Phone (352) 273-8610
Other practice location 1
2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 698-6061
Other practice location 2
941 Spring Creek Rd
Chattanooga, TN 37412-3909
Phone (423) 894-7870
Other practice location 3
2051 Hamill Rd
Hixson, TN 37343-6614
Phone (423) 495-7100
Other practice location 4
2525 DeSales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IZ759Z | Other | FL | MEDICARE |
| 021040700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Philadelphia College of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (865) 546-8040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11448 | CA | MD | General Practice Physician |
| 3416 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Anesthesiology | Current | Accepting new patients |
Locations
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301
2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Organizations & group practices 1
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 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, TN
- NPI 1669567319
-
- General Acute Care Hospital
- Cleveland, TN
- NPI 1255171096
-
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
-
- Critical Access Hospital
- Dayton, TN
- NPI 1811987084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1265665939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100254",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100254",
"telephone_number": "352-273-8610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32610",
"telephone_number": "352-273-8610"
}
],
"practiceLocations": [
{
"address_1": "2333 McCallie Ave",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374043258",
"country_code": "US",
"telephone_number": "423-698-6061",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "941 Spring Creek Rd",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374123909",
"country_code": "US",
"telephone_number": "423-894-7870",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2051 Hamill Rd",
"address_purpose": "LOCATION",
"city": "Hixson",
"state": "TN",
"postal_code": "373436614",
"country_code": "US",
"telephone_number": "423-495-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2525 DeSales Ave",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374041161",
"country_code": "US",
"telephone_number": "423-495-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMINSKY",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-28",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "OS14615",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "20A11448",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "3416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IZ759Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021040700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.