DR. MICHAEL T REILLY (NPI# 1770534240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770534240 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL T REILLY |
| Credential | M.D. |
| Practice Address |
1201 5th Ave North Suite 401 St Petersburg FL 33705 |
| Mailing Address |
1201 5th Ave N Suite 401 St Petersburg FL 33705 |
| Practice Telephone | 7278211132 |
| Practice Fax Number | 7278222977 |
| Mailing Telephone | 7278211132 |
| Mailing Fax Number | 7278222977 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
ME32973 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788980 | Michael Falcon Reilly | Counselor | 932 Ward Ave Ste 490, Honolulu, HI 96814-2193 | 2014-12-03 |
| 1922395714 | Michael J Reilly | Internal Medicine | 1235 Old York Rd Ste 121, Abington, PA 19001-3840 | 2011-06-30 |
| 1902105729 | Michael William Reilly | Social Worker | 481 8th Ave., Suite 520, New York, NY 10001 | 2011-03-18 |
| 1700017548 | Michael C Reilly | Occupational Therapy Assistant | 1633 Cypress Lane, Paradise, CA 95969 | 2009-07-28 |
| 1912100280 | Michael Patrick Reilly | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1285835785 | Michael Patrick Reilly | Speech-Language Pathologist | 4029 N Mallard Ln, Doylestown, PA 18901-1233 | 2007-05-30 |
| 1699701961 | Michael T Reilly | Orthopaedic Surgery | 5301 N. Dixie Hwy, Suite 203, Ft Lauderdale, FL 33334-3403 | 2006-06-25 |
| 1528045168 | Michael D Reilly | Nurse Practitioner | 2500 Citrus Blvd, Leesburg, FL 34748-3063 | 2005-12-26 |
| 1447236963 | Michael S Reilly | Dentist | 21 Rolfe Sq, Cranston, RI 02910-2809 | 2005-12-16 |
| 1235112244 | Michael Jay Reilly | Family Medicine | 14828 Greyhound Ct Ste 100, Carmel, IN 46032-5016 | 2005-11-23 |
| Street Address |
1201 5TH AVE NORTH SUITE 401 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336120336 | Richard Knipe | Internal Medicine | 1201 5th Ave North, Suite 505, St Petersburg, FL 33705-1455 | 2005-11-08 |
| 1548460546 | Radiation Oncology of West Florida | Radiology | 1201 5th Ave North, Suite 130, St Petersburg, FL 33705 | 2007-07-19 |
| 1316921851 | Ellen M. Hooker | Nutritionist | 1201 5th Ave North, Ste 302, St Petersburg, FL 33705-1457 | 2005-11-29 |
| 1245211242 | John A. Peterson | Internal Medicine | 1201 5th Ave North, Suite 505, St Petersburg, FL 33705-1455 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164836797 | Pinellas Health & Wellness, LLC | Family Medicine | 222 2nd St N, St Petersburg, FL 33701-3314 | 2014-06-11 |
| 1306111737 | Norval Mason Marr Jr. | Family Medicine | 501 Coffee Pot Riviera Ne, St Petersburg, FL 33704-3617 | 2012-03-19 |
| 1205036555 | K Jean Joviak Md Pa | Family Medicine | 860 S Village Dr N, 105, St Petersburg, FL 33716-3024 | 2007-07-24 |
| 1932298411 | Margaret Teresa Nusca | Family Medicine | 690 4th Ave S, St Petersburg, FL 33701 | 2006-10-12 |
| 1851344485 | John E Kern | Family Medicine | 5838 9th Ave N, St Petersburg, FL 33710-6319 | 2006-05-17 |
| 1811498652 | Tampa Bay Hospitalists LLC | Family Medicine | 1839 Central Ave, St Petersburg, FL 33713-8900 | 2018-02-27 |
| 1932598349 | Clear Path Center Pa | Family Medicine | 3177 4th St N, St Petersburg, FL 33704-2124 | 2015-01-22 |
| 1427394303 | Capital Medical Group, LLC | Family Medicine | 5985 49th St N, St Petersburg, FL 33709-2111 | 2012-12-20 |
| 1821396151 | Robert Jennings Wallace | Family Medicine | 3000 1st Ave N, St Petersburg, FL 33713-8607 | 2011-03-10 |
| 1003116625 | John E Kern Do Pa | Family Medicine | 5838 9th Ave N, St Petersburg, FL 33710-6319 | 2010-10-29 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
Please comment or provide details below to improve the information on DR. MICHAEL T REILLY.
| 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.