Amy Kristen Mickler, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME98736 Issued in FL

Practice address

1106 Druid Rd S
Department of Radiology
Clearwater, FL 33756-3846

Phone

(727) 441-3711

NPI assigned

Feb 6, 2007

Last updated

Mar 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Amy Kristen Riddle Former name

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

Specialty

Diagnostic Radiology

Education

Indiana University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Josephs Diagnostic Center LLCGroup PAC ID 3779484928, 89 clinicians

Radiology Associates of ClearwaterGroup PAC ID 5496732067, 54 clinicians

Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
• Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
• Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
• Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Morton Plant Mease Health Services Inc

  dba Boi Bardmoor

  • Diagnostic Radiology Physician
  • Largo, FL
  • NPI 1528049962
  Medicare reassignment Care Compare group NPD
• Radiology Associates of Clearwater

  • Diagnostic Radiology Physician
  • Clearwater, FL
  • NPI 1982694899
  Medicare reassignment Care Compare group NPD
• St Josephs Diagnostic Center LLC

  dba BayCare Outpatient Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1558342998
  Medicare reassignment Care Compare group NPD
• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Valrico, FL
  • NPI 1417423377
  Medicare reassignment
• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Land O' Lakes, FL
  • NPI 1164006359
  NPD
• Baycare Outpatient Imaging LLC

  • Diagnostic Radiology Physician
  • Plant City, FL
  • NPI 1376238642
  NPD
• Morton Plant Mease Health Services Inc

  dba Boi Countryside

  • Diagnostic Radiology Physician
  • Safety Harbor, FL
  • NPI 1316576705
  NPD
• Morton Plant Mease Health Services, Inc

  dba Boi Trinity

  • Diagnostic Radiology Physician
  • Trinity, FL
  • NPI 1780665125
  NPD
• St Joseph's Diagnostic Center LLC

  dba BayCare Outpatient Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1699062422
  NPD
• St Joseph's Diagnostic Center LLC

  dba BayCare Outpatient Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1821527474
  NPD
• Medical Specialist Associates of Florida LLC

  dba BayCare Outpatient Imaging

  • Specialist
  • Dunedin, FL
  • NPI 1922023076
  NPD (past)

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

• Morton Plant Hospital Association Inc

  dba Morton Plant Hospital

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation
• Morton Plant Hospital Association Inc

  dba Morton Plant North Bay Hospital

  • General Acute Care Hospital
  • New Port Richey, FL
  • NPI 1437135811
  Care Compare affiliation
• Trustees of Mease Hospital Inc

  dba Mease Countryside Hospital

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1265419907
  Care Compare affiliation
• Trustees of Mease Hospital Inc

  dba Mease Dunedin Hospital

  • General Acute Care Hospital
  • Dunedin, FL
  • NPI 1336125640
  Care Compare affiliation

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1881733558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917368",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001",
            "telephone_number": "727-793-9300",
            "fax_number": "727-793-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 DRUID RD S",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563846",
            "telephone_number": "727-441-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKLER",
        "first_name": "AMY",
        "middle_name": "KRISTEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "135564",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME98736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "90739",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278336300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00427228",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "RIDDLE",
            "middle_name": "KRISTEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danica Lee Michel, PT, DPT
• Michelle R Scargle MD PA (Concord Health)
• Lisa Michner
• Micjax LLC (We Are There HomeCare)
• Kurt Phillip Mickelson
• Christopher Regar Mickler, D.O.
• Microwell Laboratories Inc (Microwell Laboratories)
• Mid Pinellas Medical Center Inc
• Midway Manor Alf Inc
• Joseph Miesbauer

• Diagnostic Radiology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.