Individual provider Active NPI

Michael Stine, D.O.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1518101187
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS 13121 Issued in FL
Practice address
4321 N Macdill Ave
Suite 205
Tampa, FL 33607-6388
Phone
(813) 961-7440
Fax
(813) 962-0951
NPI assigned
Apr 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2012-00348 NC
Obstetrics & Gynecology Physician 207V00000X OS 13121 FL Primary

Addresses

Primary practice location

4321 N Macdill Ave
Suite 205
Tampa, FL 33607-6388

Mailing address

PO Box 25317
Tampa, FL 33622-5317
Phone (813) 286-0033

Other identifiers 1

IdentifierTypeStateIssuer
1427017169MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110812000305 FL Practitioner - Obstetrics/Gynecology 9537338348 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 13121FLMDObstetrics & Gynecology Physician
2012-00348NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Oct 1, 2020 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2018 Accepting new patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince Jul 1, 2015 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 1, 2020 Accepting new patients
Southeast Women's Center, PLLC PastSince Jun 29, 2012 Accepting new patients

Locations

1122 Bell Shoals Rd
Ste 101
Brandon, FL 33511

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

4321 N Macdill Ave
Ste 307
Tampa, FL 33607
Phone (813) 874-1594

4321 N Macdill Ave
Ste 205
Tampa, FL 33607
Phone (813) 961-7440

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

10909 W Linebaugh Ave
Ste 104
Tampa, FL 33626
Phone (813) 920-1808

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Interoperability endpoints

  • Direct secure messaging: michael.stine@toplinemd.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1518101187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25317",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225317",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 N MACDILL AVE",
            "address_2": "SUITE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076388",
            "telephone_number": "813-961-7440",
            "fax_number": "813-962-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2012-00348",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS 13121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427017169",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.