Michael John Dale, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9105384 Issued in FL

Practice address

6110 S.R. 70 East (53Rd Ave)
Bradenton, FL 34203

Phone

(941) 755-4242

Fax

(941) 755-1906

NPI assigned

May 5, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Florida Medical Specialists LLC

  dba Cancer Center of Sarasota

  • Hematology & Oncology Physician
  • Sarasota, FL
  • NPI 1750399598
  Medicare reassignment Care Compare group
• Maxhealth Now of Florida, LLC

  • Hospitalist Physician
  • Sarasota, FL
  • NPI 1356734032
  Medicare reassignment
• Florida Medical Specialists LLC

  dba Cancer Center of Sarasota Manatee

  • Hematology & Oncology Physician
  • Lakewood Ranch, FL
  • NPI 1891419925
  NPD
• Best Value Healthcare LLC

  dba MaxHealth

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1790152015
  NPD (past)
• Coastal Cardiovascular Consultants PLLC

  • Cardiovascular Disease Physician
  • Bradenton, FL
  • NPI 1194106385
  NPD (past)
• Florida Medical Specialists LLC

  dba MAXhealth Sarasota

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1164795563
  NPD (past)
• Florida Medical Specialists LLC

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1699163808
  NPD (past)
• Harbor Blvd Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Port Charlotte, FL
  • NPI 1700138997
  NPD (past)
• HPP Physicians LLC

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1184093023
  NPD (past)
• Orthomed Pain & Sports Medicine

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Venice, FL
  • NPI 1861761256
  NPD (past)

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1548588262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-202-5342",
            "fax_number": "855-253-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 S.R. 70 EAST (53RD AVE)",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34203",
            "telephone_number": "941-755-4242",
            "fax_number": "941-755-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-05",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9105384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0F6V",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008214900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL PHYSICIAN ASSISTANT LICENSE NUMBER",
            "identifier": "PA9105384",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian M Daignault
• Elizabeth Shea Daignault, LMT
• Kaitlyn Dailey
• Tess Kates Dailey, APRN
• Juliana Dale
• Daley and Associates Primemed of Tampa Bay LLC
• Janet Lea Dallman, CPH
• Edgar R Dalton, DDS
• Ashley Katherine Daly
• Emily Jane Daly, RCSWI

• Medical Physician Assistant in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.