Provider Type Icon

MR. MICHAEL JOHN DALE PA-C NPI 1548588262


NPI Information

NPI: 1548588262
Provider Name: MR. MICHAEL JOHN DALE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: FLORIDA MEDICAL SPECIALISTS LLC

PECOS Registration: Yes

Address:
6110 S.R. 70 EAST (53RD AVE)
BRADENTON, FL
ZIP 34203
Phone: (941) 755-4242
Get Directions

MR. Michael John Dale, PA-C is a medical physician assistant in Bradenton, FL with 15 years of experience. MR. Michael John Dale, PA-C NPI is 1548588262. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6110 S.R. 70 EAST (53RD AVE)
BRADENTON, FL
ZIP 34203
Phone: (941) 755-4242
Fax: (941) 755-1906

The NPI 1548588262 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Urinalysis, manual test (HCPCS:81002)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

The enumeration date for this NPI number is 5/5/2010 and was last updated on 12/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA 9105384FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DA973WMEDICARE PINFLORIDA
2PA9105384OTHERFLORIDAFL PHYSICIAN ASSISTANT LICENSE NUMBER
3Y0F6VOTHERFLORIDABCBS
4008214900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.