Michael C Dillon, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0039746 Issued in FL

Practice address

4645 NW 8TH Ave
Gainesville, FL 32605-4524

Phone

(352) 264-2500

Fax

(352) 331-9095

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23008/brand/1/csg/1/fhir/r4

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.

• Interventional Cardiologists of Gainesville, PA

  dba The Cardiac & Vascular Institute

  • Interventional Cardiology Physician
  • Gainesville, FL
  • NPI 1811931629

  Cardiovascular Disease

  Medicare reassignment NPD
• Cardiology Associates of Gainesville

  • Cardiovascular Disease Physician
  • Gainesville, FL
  • NPI 1225145717
  NPD
• Cardiology Associates of Gainesville

  • Cardiovascular Disease Physician
  • Lake City, FL
  • NPI 1528206638
  NPD (past)
• Premier Medical Clinic

  • Internal Medicine Physician
  • Perry, FL
  • NPI 1518926799
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1285600148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 NW 8TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054524",
            "telephone_number": "352-264-2500",
            "fax_number": "352-331-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 NW 8TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054524",
            "telephone_number": "352-264-2500",
            "fax_number": "352-331-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0039746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066416200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry Christopher Dillard Jr., APRN
• Julian Emerson Dilley, MD
• Terran C Dillhyon
• Elizabeth Mary Dillon, ARNP
• Jennifer Tuck Dillon, DNP, FNP, PMHNP
• Robert Dillon, M.S.W.
• Dina Smith Enneagram Consulting, LLC
• Delaney Ding
• Bao Quoc Dinh, ASCP(MLS)
• Judy Dinh

• Cardiovascular Disease Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.