Active NPI
Michael S Werner, DPM
- Podiatrist
- Clearwater, FL
National Provider Identifier
1962494021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- P02826
- Practice address
- 430 Morton Plant St Ste 301
Clearwater, FL 33756-3395 - Phone
- (727) 461-6026
- Fax
- (727) 461-7446
- NPI assigned
- Aug 16, 2005
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P02826 | FL | Primary |
Addresses
Primary practice location
430 Morton Plant St Ste 301
Clearwater, FL 33756-3395
Mailing address
430 Morton Plant St Ste 301
Clearwater, FL 33756-3395
Phone (727) 461-6026
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340548600 | Medicaid | FL | |
| 1070365 | Other | FL | CARE PLUS |
| 1148266 | Other | FL | CIGNA HEALTHCARE |
| 65638 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P02826 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpmwernernrfl | Podiatrist | 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.
-
- Podiatrist
- Largo, FL
- NPI 1114945631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1962494021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 MORTON PLANT ST STE 301",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563395",
"telephone_number": "727-461-6026",
"fax_number": "727-461-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 MORTON PLANT ST STE 301",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563395",
"telephone_number": "727-461-6026",
"fax_number": "727-461-7446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "MICHAEL",
"middle_name": "S",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "P02826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340548600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE PLUS",
"identifier": "1070365",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "1148266",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "65638",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.