DR. MICHAEL J WAHL (NPI# 1114017142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114017142 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J WAHL |
| Credential | M.D. |
| Practice Address |
13910 Lakeshore Blvd Suite 140 Hudson FL 34667-1481 |
| Practice Telephone | 7278699300 |
| Practice Fax Number | 7278690636 |
| Mailing Telephone | 7278699300 |
| Mailing Fax Number | 7278690636 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME0062494 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 280177900 | 05 | |
| PGBA - RAILROAD MEDICARE | P00444360 | 01 | |
| FL | 370704100 | 05 | |
| FL | 002224500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932460581 | Michael Wahl | Dentist | 1130 Tournament Dr, Hillsborough, CA 94010-7432 | 2012-05-30 |
| 1265423404 | Michael J Wahl | Family Medicine | 109 Technology Drive, Suite A, Butler, PA 16001-1785 | 2005-11-04 |
| 1770584716 | Michael Ernest Wahl | Dentist | 1104 W Colorado Ave, Colorado Springs, CO 80904 | 2005-08-02 |
| 1326513243 | Michael Brandon Wahl | Counselor | 344 E 100 S, Salt Lake City, UT 84111 | 2018-10-07 |
| 1710253893 | Michael Wahl | Radiology | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2012-03-22 |
| 1568538080 | Michael S. Wahl | Emergency Medicine | 2650 Ridge Ave, Emergency Medicine, Evanston, IL 60201-1718 | 2006-11-27 |
| 1265535637 | Michael J Wahl | Dentist | 1601 Concord Pike, Su 99, Wilmington, DE 19803 | 2006-09-07 |
| 1346237807 | Michael R Wahl | Internal Medicine | 11700 W 2nd Pl, Suite 350, Lakewood, CO 80228-1710 | 2005-09-30 |
| Street Address |
13910 LAKESHORE BLVD SUITE 140 |
| City | HUDSON |
| State | FL |
| Zip Code | 34667-1481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386624393 | Gaither G Davis | Otolaryngology | 13910 Lakeshore Blvd, Ste 120, Hudson, FL 34667 | 2006-01-18 |
| 1780128298 | Rebecca Hodges | Nurse Practitioner | 13910 Lakeshore Blvd, Suite 130, Hudson, FL 34667-1481 | 2016-12-19 |
| 1679832737 | Dr. Jordan Young Md Pa | Clinic/Center | 13910 Lakeshore Blvd, Suite 130, Hudson, FL 34667-1481 | 2012-05-10 |
| 1215105671 | Cuttler Audiology Inc | Audiologist | 13910 Lakeshore Blvd, Ste. 120, Hudson, FL 34667-1481 | 2008-02-19 |
| 1144415126 | Michael Wahl Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13910 Lakeshore Blvd, Ste 140, Hudson, FL 34667 | 2007-09-12 |
| 1366550097 | Gaither G Davis Md Pa | Otolaryngology | 13910 Lakeshore Blvd, Ste 120, Hudson, FL 34667 | 2006-08-25 |
| 1720095441 | James Robert Cuttler | Audiologist | 13910 Lakeshore Blvd, 120, Hudson, FL 34667 | 2006-08-02 |
| 1235155243 | Robert A Young | Internal Medicine | 13910 Lakeshore Blvd, Suite 130 Building 100, Hudson, FL 34667-1481 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073017505 | Brain and Spine Neuroscience Institute, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13740 Office Park Ct Ste C, Hudson, FL 34667-7145 | 2018-03-20 |
| 1144415126 | Michael Wahl Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 13910 Lakeshore Blvd, Ste 140, Hudson, FL 34667 | 2007-09-12 |
| 1467542498 | Marshall Matthew Desantis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 14100 Fivay Rd, Suite 300, Hudson, FL 34667-7180 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765898 | Leonardo Andrade Mulinari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 Nw 14th St Ofc 462, Miami, FL 33136-2107 | 2020-09-21 |
| 1093344376 | Jupiter Medical Center Physicians Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1002 S Old Dixie Hwy Ste 101, Jupiter, FL 33458-7202 | 2020-04-07 |
| 1720581937 | John J Dunning | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12901 Bruce B Downs Blvd # 62, Tampa, FL 33612-4742 | 2018-03-14 |
| 1871020545 | Nicholas James Sears | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 Knights Run Ave, Suite 1406, Tampa, FL 33602-6300 | 2017-05-12 |
| 1124410857 | Miami Vein Clinics Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8549 Coral Way, Miami, FL 33155-2335 | 2015-03-04 |
| 1861884595 | Usa Vascular Centers of Miami Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1711 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4621 | 2015-03-04 |
| 1568861995 | Modesto Peralta Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 423 W Fenway Dr, Hernando, FL 34442-5144 | 2014-08-21 |
| 1477982197 | Paul Kurlansky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2755 N Bay Rd, Miami Beach, FL 33140-4264 | 2013-11-04 |
| 1184063521 | Walter Smithwick IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Prince Edward Rd, Jacksonville, FL 32210-8118 | 2013-06-19 |
| 1023451937 | Leonard R. Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1121 Crandon Blvd, F-701, Key Biscayne, FL 33149-2755 | 2013-04-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.