Active NPI
Michael Dancy, CSFA, CST
- Surgical Physician Assistant
- Melbourne, FL
National Provider Identifier
1760888283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 749 McDermott Ave
Melbourne, FL 32935-3038 - Phone
- (321) 890-2022
- NPI assigned
- Nov 11, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
749 McDermott Ave
Melbourne, FL 32935-3038
Mailing address
1270 N Wickham Rd Ste 16-422
Melbourne, FL 32935-8923
Phone (321) 890-2022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Space Coast Surgical Assisting LLC | Surgical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Physician Assistant
- Melbourne, FL
- NPI 1922404441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1760888283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 N WICKHAM RD STE 16-422",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329358923",
"telephone_number": "321-890-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 MCDERMOTT AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329353038",
"telephone_number": "321-890-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANCY",
"first_name": "MICHAEL",
"credential": "CSFA, CST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-11",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.