Individual provider Active NPI

Michael J Coyle, D.O.

  • Obstetrics & Gynecology Physician
  • Milton, FL
National Provider Identifier
1548268246
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS9063 Issued in FL
Practice address
6072 Doctors Park
Milton, FL 32570-5072
Phone
(850) 983-3528
Fax
(850) 983-3546
NPI assigned
Jul 7, 2005
Last updated
Feb 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS9063 FL Primary

Addresses

Primary practice location

6072 Doctors Park
Milton, FL 32570-5072

Mailing address

PO Box 591
Milton, FL 32572-0591
Phone (850) 983-3528

Other identifiers 2

IdentifierTypeStateIssuer
269991500MedicaidFL
37843OtherFLBC BS FLORIDA ID #

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
I20040930000162 FL Practitioner - Obstetrics/Gynecology 0042289696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia School of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9295 Scenic Hwy
Pensacola, FL 32514-8055
Phone 8509833528102

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Hma Physician Management LLC PastSince Jul 4, 2021 Accepting new patients
Progressive Womens Health PA Obstetrics & Gynecology PastSince Feb 11, 2004 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2183/brand/21/csg/1/fhir/r4
  • Direct secure messaging: michael.coyle.1@10592.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1548268246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325720591",
            "telephone_number": "850-983-3528",
            "fax_number": "850-983-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6072 DOCTORS PARK",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325705072",
            "telephone_number": "850-983-3528",
            "fax_number": "850-983-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS9063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269991500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS FLORIDA ID #",
            "identifier": "37843",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.