NPIMap

Individual provider Active NPI

Michael Ryan Hoard, PA-C

  • Medical Physician Assistant
  • Tampa, FL
National Provider Identifier
1710541065
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9112164 Issued in FL
Practice address
3345 S Dale Mabry Hwy
Tampa, FL 33629-7817
Phone
(813) 234-0100
NPI assigned
Apr 23, 2019
Last updated
Apr 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9112164 FL Primary

Addresses

Primary practice location

3345 S Dale Mabry Hwy
Tampa, FL 33629-7817

Mailing address

2202 N Lois Ave Apt 2302
Tampa, FL 33607-2575
Phone (312) 909-1028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191001000170 FL Practitioner - Physician Assistant 4385974690 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc. Multi-Specialty CurrentSince Aug 10, 2020 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Multi-Specialty CurrentSince Aug 10, 2020 Accepting new patients
Observation Medical Group LLC Multi-Specialty CurrentSince Nov 1, 2020 Accepting new patients
Florida Em-I Medical Services PA Multi-Specialty Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1710541065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N LOIS AVE APT 2302",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072575",
            "telephone_number": "312-909-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297817",
            "telephone_number": "813-234-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOARD",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.