Individual provider Active NPI

Michaela Machak, AU.D

  • Audiologist
  • Largo, FL
National Provider Identifier
1972323723
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2882 Issued in FL
Practice address
11200 Seminole Blvd Ste 301
Largo, FL 33778-3240
Phone
(727) 977-5222
Fax
(813) 265-3355
NPI assigned
Oct 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2882 FL Primary

Addresses

Primary practice location

11200 Seminole Blvd Ste 301
Largo, FL 33778-3240

Mailing address

6615 Gunn Hwy
Tampa, FL 33625-4056
Phone (813) 265-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025003463 FL Practitioner - Qualified Audiologist 3779016969 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dan Gardner Inc Audiologist CurrentSince Oct 17, 2024 Accepting new patients
Audiology Distribution, LLC Past Accepting new patients

Locations

700 SE 5th Ter
Ste 11
Crystal River, FL 34429
Phone (352) 795-5377

11200 Seminole Blvd
Ste 301
Seminole, FL 33778
Phone (707) 363-7627

6615 Gunn Hwy
Tampa, FL 33625
Phone (800) 277-1182

6215 Abbott Station Dr
Ste 105
Zephyrhills, FL 33542
Phone (813) 782-5395

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1972323723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254056",
            "telephone_number": "813-265-2255",
            "fax_number": "813-265-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SEMINOLE BLVD STE 301",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783240",
            "telephone_number": "727-977-5222",
            "fax_number": "813-265-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHAK",
        "first_name": "MICHAELA",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.