Individual provider Active NPI

Michael A Jaindl, MD

  • Otolaryngology Physician
  • Lehigh Acres, FL
National Provider Identifier
1700860889
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME 108882 Issued in FL
Practice address
1530 Lee Blvd Ste 2350
Lehigh Acres, FL 33936-4851
Phone
(239) 674-7345
Fax
(239) 491-2347
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME 108882 FL Primary

Addresses

Primary practice location

1530 Lee Blvd Ste 2350
Lehigh Acres, FL 33936-4851

Mailing address

1530 Lee Blvd Ste 2350
Lehigh Acres, FL 33936-4851
Phone (239) 674-7345

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
I20110627000478 FL Practitioner - Otolaryngology 6901873587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of South Carolina School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holmes County Hospital CorpGroup PAC ID 3375557887, 21 clinicians

Practice addresses (Care Compare)

2910 Hospital Dr
Bonifay, FL 32425-4268
Phone (850) 547-8118

Hospital & facility affiliations

  • Doctors Memorial Hospital Hospital, Bonifay, FL, CCN 101307

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Pathology Group of Northwest Florida PLLC Current Accepting new patients
Holmes County Hospital Corp CurrentSince Apr 1, 2023 Accepting new patients
Holmes County Hospital Corp CurrentSince Apr 1, 2023 Accepting new patients
Vivid Pathology PA Current Accepting new patients
Robert Kratz, MD Past Accepting new patients

Locations

2910 Hospital Dr
Ste A
Bonifay, FL 32425
Phone (850) 547-8118

2600 Hospital Dr
Bonifay, FL 32425
Phone (850) 416-6484

Organizations & group practices 5

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1700860889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 LEE BLVD STE 2350",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364851",
            "telephone_number": "239-674-7345",
            "fax_number": "239-674-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 LEE BLVD STE 2350",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364851",
            "telephone_number": "239-674-7345",
            "fax_number": "239-491-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAINDL",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME 108882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.