NPIMap

Individual provider Active NPI

Michael Joseph Look, DO

  • Family Medicine Physician
  • East Palatka, FL
National Provider Identifier
1861677601
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS10186 Issued in FL
Practice address
199 South Highway 17
Suite B
East Palatka, FL 32131-0000
Phone
(904) 826-3469
Fax
(904) 808-4608
NPI assigned
Dec 28, 2007
Last updated
Jun 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS10186 FL Primary

Addresses

Primary practice location

199 South Highway 17
Suite B
East Palatka, FL 32131-0000

Mailing address

130 Health Park Blvd
St Augustine, FL 32086-0000
Phone (904) 826-3469

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
I20080724000774 FL Practitioner - Family Practice 9032282967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flagler Family Medicine P aGroup PAC ID 9335114347, 13 clinicians

Practice addresses (Care Compare)

130 Health Park Blvd
St Augustine, FL 32086-5776
Phone (904) 826-3469

130 Healthpark Blvd
St Augustine, FL 32086-5776

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Family Medicine P a Family Medicine CurrentSince Jul 14, 2008 Accepting new patients
Flagler Family Nursing Home Care LLC Family Medicine CurrentSince May 1, 2021 Accepting new patients
Flagler Family Medicine PA Family Medicine CurrentSince Aug 1, 1997 Accepting new patients

Locations

130 Health Park Blvd
St Augustine, FL 32086
Phone (904) 826-3469

315 W Town Pl
Ste 1
St Augustine, FL 32092
Phone (904) 429-4736

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADBCAA
  • Direct secure messaging: michael.look@flaglerffm.eclinicaldirectplus.com
  • Direct secure messaging: mlook741082@direct.shands.ufl.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1861677601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HEALTH PARK BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320860000",
            "telephone_number": "904-826-3469",
            "fax_number": "904-808-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SOUTH HIGHWAY 17",
            "address_2": "SUITE B",
            "city": "EAST PALATKA",
            "state": "FL",
            "postal_code": "321310000",
            "telephone_number": "904-826-3469",
            "fax_number": "904-808-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOK",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palatka, FL

Sources for this page

Verify at the official NPI Registry.