Individual provider Active NPI

Micheal Ray Linville, DPM

  • Podiatrist
  • Muscle Shoals, AL
National Provider Identifier
1396709622
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0259 Issued in AL
Practice address
2200A 2ND St
Muscle Shoals, AL 35661-1271
Phone
(256) 381-3878
Fax
(256) 381-6040
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0259 AL Primary

Addresses

Primary practice location

2200A 2ND St
Muscle Shoals, AL 35661-1271

Mailing address

PO Box 2583
Muscle Shoals, AL 35662-2583
Phone (256) 381-3878

Other identifiers 1

IdentifierTypeStateIssuer
515-11248OtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
259ALMDMental Health Counselor
0259ALMDPodiatrist
1950MAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1396709622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2583",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356622583",
            "telephone_number": "256-381-3878",
            "fax_number": "256-381-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200A 2ND ST",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356611271",
            "telephone_number": "256-381-3878",
            "fax_number": "256-381-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINVILLE",
        "first_name": "MICHEAL",
        "middle_name": "RAY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "0259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "515-11248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

Verify at the official NPI Registry.