JASON MICHAELS (NPI# 1316969694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316969694 |
Entity Type | Individual |
Full Name | JASON MICHAELS |
Credential | MD |
Practice Address |
102 Valley Road Middletown RI 02842-5237 |
Mailing Address |
102 Valley Rd Middletown RI 02842-5237 |
Practice Telephone | 4012391800 |
Practice Fax Number | 4012391801 |
Mailing Telephone | 4012391800 |
Mailing Fax Number | 4012391801 |
Enumeration Date | 2006-07-24 |
Last Update Date | 2020-01-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | 25087 | WV | Allopathic & Osteopathic Physicians |
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD13562 | RI | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1524 Atwood Ave Ste 321, Johnston, RI 029193228 | 4012391800 | 4012391801 |
1525 Wampanoag Trl Ste 203, Riverside, RI 029151038 | 4012391800 | 4012391801 |
67 William S Canning Blvd, Tiverton, RI 028783003 | 4012391800 | 4012391801 |
618 Toll Gate Rd, Warwick, RI 028862717 | 4012391800 | 4012391801 |
51 Long Wharf Mall, Newport, RI 028402906 | 4012391800 | 4012391801 |
851 Main St, Warren, RI 028854402 | 4012391800 | 4012391801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679988521 | Jason R Michaels | Anesthesiology | 701 N 1st St, Springfield, IL 62702-3757 | 2014-06-29 |
1255650073 | Jason D Michaels | Dermatology | 14275 N 87th St Ste 110, Scottsdale, AZ 85260-3696 | 2010-05-18 |
Street Address |
102 VALLEY ROAD |
City | MIDDLETOWN |
State | RI |
Zip Code | 02842-5237 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
1295149714 | Jacquelyn Marez | Occupational Therapy Assistant | 1998 West Main Rd, Middletown, RI 02842 | 2014-06-12 |
1144660465 | Brittney Lea Barry | Audiologist | Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 | 2013-07-01 |
1912262445 | Wendy S Drysdale | Student in an Organized Health Care Education/Training Program | 372 Purgatory Road, St. George's School, Middletown, RI 02842 | 2012-07-11 |
1912294778 | Laurie B Phenix | Pharmacist | 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 | 2011-06-30 |
1023278249 | Ann Marie Efflandt | Speech-Language Pathologist | 333 Green Ave, Middletown, RI 02842 | 2008-06-11 |
1669631487 | Tiffany Bourquin | Counselor | 575 E Main Rd Unit 4, Middletown, RI 02842 | 2008-06-06 |
1104048396 | Valley Primary Care Inc | Family Medicine | 294 Valley Road, Middletown, RI 02842 | 2007-05-03 |
Find all providers in zip 02842 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386160059 | Sunwise Dermatology & Surgery LLC | Dermatology | 102 Sleepy Hollow Dr Ste 203, Middletown, DE 19709-5841 | 2017-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730538026 | Brown Dermatology, Inc. | Dermatology | 593 Eddy St, Apc-10, Providence, RI 02903-4923 | 2016-06-07 |
1700176849 | Aspire Dermatology LLC | Dermatology | 51 Long Wharf Mall, Newport, RI 02840-2906 | 2011-04-11 |
1437316676 | Alyssa Bishop Findley | Dermatology | 1672 S County Trl, Suite 101, East Greenwich, RI 02818-5098 | 2008-05-16 |
1770770547 | Surgical & Cosmetic Dermatology of Rhode Island, LLC | Dermatology | 1 Randall Sq, Suite 306, Providence, RI 02904-2709 | 2007-09-26 |
City | MIDDLETOWN |
Zip Code | 02842 |
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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.