Active NPI
David Hill Michal, M.D.
- Nephrology Physician
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME 67799
- Practice address
- 1563 Kingsley Avenue
Suite 106
Orange Park, FL 32073 - Phone
- (904) 272-6161
- Fax
- (904) 389-5332
- NPI assigned
- May 27, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME 67799 | FL | Primary |
Addresses
Primary practice location
1563 Kingsley Avenue
Suite 106
Orange Park, FL 32073
Mailing address
2 Shircliff Way
Suite 700 Depaul BLDG.
Jacksonville, FL 32204-4763
Phone (904) 389-5333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377432500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 67799 | FL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James D. Baker III, M.D., PA | Nephrology | Current | Accepting new patients |
| Ara-West Jacksonville LLC | Past | Accepting new patients | |
| Florida Infectious Disease Associates PA | Past | Accepting new patients |
Locations
2 Shircliff Way
Ste 700
Jacksonville, FL 32204
Phone (904) 387-3001
2 Shircliff Way
Ste 415
Jacksonville, FL 32204
Phone (904) 389-5333
1563 Kingsley Ave
Ste 106
Orange Park, FL 32073
Phone (904) 272-6161
1895 Kingsley Ave
Ste 303
Orange Park, FL 32073
Phone (904) 272-6161
Organizations & group practices 3
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.
-
dba Nephrology Associates Of Northeast Florida
- Nephrology Physician
- Jacksonville, FL
- NPI 1437182896
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jacksonville, FL
- NPI 1093730806
-
dba Nephrology Associates of Northeast Florida
- Family Nurse Practitioner
- Orange Park, FL
- NPI 1124214879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1427051036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SHIRCLIFF WAY",
"address_2": "SUITE 700 DEPAUL BLDG.",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044763",
"telephone_number": "904-389-5333",
"fax_number": "904-389-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1563 KINGSLEY AVENUE",
"address_2": "SUITE 106",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "32073",
"telephone_number": "904-272-6161",
"fax_number": "904-389-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAL",
"first_name": "DAVID",
"middle_name": "HILL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME 67799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377432500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
- Whitney Marie Meyers, APRN
- Michael a. Sherman DDS PA (Park Avenue Dental)
- Michael a. Stephens MD PA (Stephens Family Practice)
- Michael D. Vanover, D.D.S., P.a.
- Michael J. Paulk P.a. (Kingsley Chiropractic)
- Navin Middela, RPH
- Midiwell (Telewell DPC)
- Miguel Batlle MD PA
- Mina R Mikhail, DDS
- Millennium Physician Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.