Michelle P Gillespie DO PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MICHELLE P GILLESPIE DO PA

Practice address

2330 W Horatio St Ste 200
Tampa, FL 33609-3590

Phone

(813) 284-0954

NPI assigned

Jul 23, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Gillespie, DO

Title

President

Phone

(954) 232-6754

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Scott Youtz

  • Physician Assistant
  • Tampa, FL
  • NPI 1568792570
  NPD

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1841809076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 W ALLINE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112806",
            "telephone_number": "954-232-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 W HORATIO ST STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093590",
            "telephone_number": "813-284-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE P GILLESPIE DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-232-6754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00655170",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Michele Michelangelo, MPT
• Michele Fleeter DPM
• Michele J Mester, LMHC, PA
• Michele Johnson-Towson MD PA
• Michelle E. Kolb, M.D., P.a.
• Micht Corp
• Miloslava Souckova Mician, MD
• Shanekia Mickel
• Nicholas K. Mickelson, DMD
• Mickeycareplus Health Care Services LLC

• Medical Specialty Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.