Active NPI
Michael Jos Sweeney, MD
- Vascular Surgery Physician
- Jacksonville, FL
National Provider Identifier
1972882777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME 42000
- Practice address
- 2917 Grand Ave
Jacksonville, FL 32210-4405 - Phone
- (904) 247-4220
- NPI assigned
- Aug 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME 42000 | FL | Primary |
| Vascular Surgery Physician | 2086S0129X | MD.014985 | LA |
Addresses
Primary practice location
2917 Grand Ave
Jacksonville, FL 32210-4405
Mailing address
2917 Grand Ave
Jacksonville, FL 32210-4405
Phone (904) 388-5174
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 42000 | FL | MD | Vascular Surgery Physician |
| MD.014985 | LA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Specialists of Southwest Florida P.a. | Vascular Surgery | Past | Accepting new patients |
| Kevin M. Strathy, M.D., PA | Past | Accepting new patients |
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.
-
- Plastic and Reconstructive Surgery Physician
- Sebring, FL
- NPI 1497835045
-
- Vascular Surgery Physician
- Fort Myers, FL
- NPI 1033103437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1972882777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 GRAND AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322104405",
"telephone_number": "904-388-5174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2917 GRAND AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322104405",
"telephone_number": "904-247-4220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "MICHAEL",
"middle_name": "JOS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME 42000",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "LA",
"license": "MD.014985",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.