Active NPI
Michael Vytantas Jurgaitis, M.D.
- Emergency Medicine Physician
- Tallahassee, FL
National Provider Identifier
1437123296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME40907
- Practice address
- 1300 Miccosukee Rd
Bixler Emergency Center
Tallahassee, FL 32308-5054 - Phone
- (850) 431-0756
- Fax
- (850) 431-0779
- NPI assigned
- Feb 16, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME40907 | FL | Primary |
Addresses
Primary practice location
1300 Miccosukee Rd
Bixler Emergency Center
Tallahassee, FL 32308-5054
Mailing address
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-0756
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069414200 | Medicaid | FL | |
| BCBS OF FLORIDA | Other | FL | 79742 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Care West | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Care | Emergency Medicine | Past | Accepting new patients |
| TMH Emergency Physician Group | Emergency Medicine | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1417483819
-
- Emergency Medicine Physician
- Honolulu, HI
- NPI 1902085863
-
- Emergency Medicine Physician
- Ewa Beach, HI
- NPI 1134327711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1437123296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085054",
"telephone_number": "850-431-0756",
"fax_number": "850-431-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE RD",
"address_2": "BIXLER EMERGENCY CENTER",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085054",
"telephone_number": "850-431-0756",
"fax_number": "850-431-0779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURGAITIS",
"first_name": "MICHAEL",
"middle_name": "VYTANTAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME40907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069414200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "79742",
"identifier": "BCBS OF FLORIDA",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.