Active NPI
Michael Macmillan, MD
- Orthopaedic Surgery Physician
- Gainesville, FL
National Provider Identifier
1902834666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME40587
- Practice address
- 4343 W Newberry Rd
Suite 2
Gainesville, FL 32607-2817 - Phone
- (352) 332-7246
- Fax
- (352) 224-2220
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME40587 | FL | Primary |
Addresses
Primary practice location
4343 W Newberry Rd
Suite 2
Gainesville, FL 32607-2817
Mailing address
4881 NW 8TH Ave
Suite 2
Gainesville, FL 32605-4582
Phone (352) 547-2373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045834100 | Medicaid | FL | |
| PG589 | Other | FL | HF MA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050527000266 | FL | Practitioner - Orthopedic Surgery | 2769429984 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simedhealth LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Jewett Orthopaedic Clinic LLC | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- michael.macmillan.1@19591.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Winter Park, FL
- NPI 1821097437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1902834666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4881 NW 8TH AVE",
"address_2": "SUITE 2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054582",
"telephone_number": "352-547-2373",
"fax_number": "352-291-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 W NEWBERRY RD",
"address_2": "SUITE 2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072817",
"telephone_number": "352-332-7246",
"fax_number": "352-224-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACMILLAN",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME40587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045834100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HF MA",
"identifier": "PG589",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.