MARITA JEAN MICHELIN (NPI# 1356373138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356373138 |
| Entity Type | Individual |
| Full Name | MARITA JEAN MICHELIN |
| Credential | MD |
| Practice Address |
700 Scott and White Blvd College Station TX 77840-5600 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 9792070100 |
| Mailing Telephone | 2547242111 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2013-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | P7955 | TX | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 38945 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
700 SCOTT AND WHITE BLVD |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77840-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396984910 | Melissa Lynn Sachs | Occupational Therapist | 700 Scott and White Blvd, College Station, TX 77840-5600 | 2009-02-05 |
| 1548369515 | Jeffrey Lee Tyler | Physician Assistant | 700 Scott and White Blvd, College Station, TX 77840-5600 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780159301 | Caprock Urgent Care, LLC | Clinic/Center | 1289 University Dr. East, College Station, TX 77840 | 2018-10-10 |
| 1629586110 | Cheyenne M Gehring | Specialist/Technologist | 1725 Harvey Mitchell Pkwy S Apt 3331, College Station, TX 77840 | 2018-01-18 |
| 1003321712 | Stephen Whitt | Specialist/Technologist | 756 Houston Street, College Station, TX 77840 | 2017-12-05 |
| 1801314406 | Leanne Pool | Speech-Language Pathologist | 1805 Lawyer Place, College Station, TX 77840 | 2017-09-03 |
| 1376996728 | Joscelyn Trompeter | Specialist/Technologist | 117 Holleman Dr, Apt 8103, College Station, TX 77840 | 2016-07-21 |
| 1104297472 | E Medical Group of College Station, LLC | Home Health | 707 Texas Ave S Ste 100a, College Station, TX 77840 | 2015-10-13 |
| 1780004036 | Magnified Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 1115 Anderson Street, College Station, TX 77840 | 2014-04-24 |
| 1306084140 | Raidah Saleem Al-baradie Sr. | Psychiatry & Neurology | 1800 Holleman Drive, College Station, TX 77840 | 2009-02-02 |
| 1427238484 | Amanda Kallstrom-fuqua | Psychologist | 1600 University Drive, College Station, TX 77840 | 2007-11-07 |
| 1124141973 | William Wayner Daniels | Dentist | 303 A East University Drive, College Station, TX 77840 | 2007-04-09 |
| Find all providers in zip 77840 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073058939 | College Station Er, LLC | Emergency Medicine | 1512 Texas Ave S, Suite 500, College Station, TX 77840-3329 | 2017-01-03 |
| 1114196342 | Manhhai H Nguyen | Emergency Medicine | 2911 Texas Ave S Ste 103, College Station, TX 77845-5388 | 2008-02-21 |
| 1598826570 | Kenneth Urban Hackney Jr. | Emergency Medicine | A P Beutel Student Health - Ms 1264, Texas A&m University, College Station, TX 77843-0001 | 2006-12-13 |
| 1194894816 | John Edmond Pinkstaff | Emergency Medicine | 17472 Creek Xing, College Station, TX 77845-5523 | 2006-11-07 |
| 1467478313 | Michael Caraway | Emergency Medicine | 3493 Mojave Canyon Dr, College Station, TX 77845-4660 | 2006-07-14 |
| 1275501314 | Stuart Quartemont | Emergency Medicine | 4801 Apple Valley Ct, College Station, TX 77845-4430 | 2006-03-14 |
| 1093788747 | Andrew Vincent Nicholes | Emergency Medicine | 2314 Scotney Ct, College Station, TX 77845-1933 | 2006-02-10 |
| 1669991162 | Island Medical College Station, Pllc | Emergency Medicine | 1604 Rock Prairie Rd, College Station, TX 77845-8345 | 2017-09-15 |
| 1356796957 | Callasandra Rose | Emergency Medicine | 700 Scott and White Dr, College Station, TX 77845-6441 | 2016-05-02 |
| 1972943231 | Wade Walker Swanson | Emergency Medicine | 700 Scott and White Dr, College Station, TX 77845-6441 | 2013-07-01 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77840 |
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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.