Individual provider Active NPI

Michael Bischof

  • Emergency Medicine Physician
  • Orange Park, FL
National Provider Identifier
1316406184
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO.2919 Issued in AL
Practice address
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone
(904) 639-2000
NPI assigned
Mar 19, 2019
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X DO.2919 AL Primary
Emergency Medicine Physician 207P00000X OS17865 FL
Emergency Medicine Physician 207P00000X 89798 GA

Addresses

Primary practice location

2001 Kingsley Ave
Orange Park, FL 32073-5148

Mailing address

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220124000038 GA Practitioner - Emergency Medicine 5991197071 Reassigns benefits to 3 organizations
I20220610000351 AL Practitioner - Emergency Medicine 5991197071 Reassigns benefits to 3 organizations
I20220621001213 FL Practitioner - Emergency Medicine 5991197071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gadsden HB Medical Services LLCGroup PAC ID 4183078561, 58 clinicians
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 494-4000

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 276-8500

4056 Millenia Blvd
Orlando, FL 32839-2426
Phone (407) 846-2266

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.2919ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Hospitalists Group, LLC Current Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Feb 18, 2024 Accepting new patients
Etowah Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 10, 2022 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Oct 20, 2022 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Gadsden HB Medical Services LLC Emergency Medicine CurrentSince Aug 27, 2023 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Etowah Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 10, 2022 Accepting new patients
Flowers HB Medical Services LLC Emergency Medicine CurrentSince Jul 16, 2024 Accepting new patients
Chattooga River Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

4056 Millenia Blvd
Orlando, FL 32839
Phone (407) 393-9800

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1316406184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735148",
            "telephone_number": "904-639-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735148",
            "telephone_number": "904-639-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISCHOF",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2022-06-03",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO.2919",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS17865",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "89798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.