Organization Active NPI

Michael J. Wiley, M.D., P.a.

  • Surgery Physician
  • Tampa, FL
National Provider Identifier
1427388644
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0041556 Issued in FL
Legal business name
MICHAEL J. WILEY, M.D., P.A.
Practice address
3901 Henderson Blvd
Tampa, FL 33629-5015
Phone
(813) 287-8439
NPI assigned
Jan 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Dr. Michael Junious Wiley, M.D.
Title
Officer
Phone
(813) 961-1677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME0041556 FL Primary

Addresses

Primary practice location

3901 Henderson Blvd
Tampa, FL 33629-5015

Mailing address

3901 Henderson Blvd
Tampa, FL 33629-5015
Phone (813) 287-8439

Other identifiers 1

IdentifierTypeStateIssuer
1881779593OtherNPI

National Provider Directory

National Provider Directory

Locations

3901 Henderson Blvd
Tampa, FL 33629
Phone (813) 287-8439

37 Bollingbrook St
Petersburg, VA 23803
Phone (804) 861-3600

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1427388644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295015",
            "telephone_number": "813-287-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295015",
            "telephone_number": "813-287-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. WILEY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JUNIOUS",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "813-961-1677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0041556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881779593",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.