Michael William Restey, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME 106765 Issued in FL

Practice address

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708

Phone

(850) 863-7566

NPI assigned

Nov 16, 2005

Last updated

Dec 9, 2012By the provider in NPPES

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 names 1

• Michael Restey Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355011200000",
    "number": "1346222122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LANMAN RD",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783607",
            "telephone_number": "850-279-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-863-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTEY",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 106765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "RESTEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Renal Care Group of the Southeast, Inc. (Renal Care Group Ft. Walton Beach)
• Renal Treatment Centers - Southeast, LP (Fort Walton Beach Dialysis)
• Megan Kayla Renner, PA-C
• Nolan Mark Renner, PA-C
• Nataliya V Reno, ARNP
• Kimberly Ret, APRN
• Erica Retallick
• Retreat at Fort Walton Beach Opco LLC (The Retreat at Fort Walton Beach)
• Isaura Reyes de Jesus
• Sarah Jane Rhea, CRNA

• Surgery Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2012; 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.