Active NPIIndividual providerSole proprietor

Jason Michaels, MD

Dermatology, MOHS-Micrographic Surgery in Middletown, Rhode Island

NPI Number1316969694
Practice location
102 Valley Road, Middletown, RI 02842-5237
Fax
401-239-1801
Last updated
November 4, 2021

Jason Michaels is a Dermatology, MOHS-Micrographic Surgery based in Middletown, RI. Jason Michaels practices in Middletown, RI and has the professional credentials of MD. The NPI Number for Jason Michaels is 1316969694 and holds a License No. 25087 (WV). The current practice location address for Jason Michaels is 102 Valley Road, Middletown, RI 02842-5237 and can be reached out via phone at 401-239-1800 and via fax at 401-239-1801.

Provider Profile Details

NPI Number
1316969694
Provider Name
Jason Michaels
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
102 Valley Road, Middletown, RI 02842-5237
Phone Number
401-239-1800
Fax Number
401-239-1801
Primary Taxonomy
Dermatology, MOHS-Micrographic Surgery · 207ND0101X
Sole Proprietor
Yes
Provider Enumeration Date
July 24, 2006
Last Update Date
November 4, 2021
Certification Date
November 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
102 Valley Road
Middletown, RI 02842-5237
Zip
02842-5237
Phone Number
401-239-1800
Fax Number
401-239-1801
Middletown, RI 02842Get directions →

Provider Business Mailing Address Details

Address
102 Valley RD
Middletown, RI 02842-5237
City
Middletown
State
RI
Zip
02842-5237
Phone Number
401-239-1800
Fax Number
401-239-1801

License Information

License Number (1)
25087
License State (1)
WV
Taxonomy (1)
Dermatology · 207N00000X
License Number (2)
MD13562
License State (2)
RI
Taxonomy (2)
Dermatology · 207N00000X
License Number (3)
MD13562
License State (3)
RI
Taxonomy (3)
Dermatology, MOHS-Micrographic Surgery · 207ND0101X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jason Michaels, MD?

The NPI number of Jason Michaels, MD is 1316969694. It was assigned on July 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Jason Michaels, MD?

Jason Michaels, MD is registered under the primary taxonomy Dermatology, MOHS-Micrographic Surgery (code 207ND0101X), licensed in WV under license number 25087.

Where does Jason Michaels, MD practice?

The practice location is 102 Valley Road, Middletown, RI 02842-5237. The office can be reached at 401-239-1800 (phone) or 401-239-1801 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316969694 directly on the NPPES registry website.

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