MR. MICHAEL LEE MICHELLI (NPI# 1689648644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689648644 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL LEE MICHELLI |
| Credential | PA-C |
| Practice Address |
100 Brewster Blvd Camp Lejeune NC 28547-2538 |
| Mailing Address |
100 Brewster Blvd Naval Hospital, Camp Lejeune, Nc Camp Lejeune NC 28547-2538 |
| Practice Telephone | 9104490545 |
| Mailing Telephone | 9104504136 |
| Mailing Fax Number | 9104504558 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2009-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1008775 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649720251 | Michael Michelli | Audiologist | 3605 Silverside Rd, Wilmington, DE 19810-5101 | 2016-10-06 |
| Street Address |
100 BREWSTER BLVD |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 28547-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668982 | Pierce Overman | Family Medicine | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2005-06-13 |
| 1275146417 | Kristi Lynn Dixon | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-27 |
| 1841802253 | Konstance Mackie | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-18 |
| 1003425117 | Jeremy Moore | Licensed Practical Nurse | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-24 |
| 1801404546 | Erika Merite Papenfuss | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-20 |
| 1306454244 | Devon Nicole Dan | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-16 |
| 1851918957 | Uriah Nmn Paul | Nurse Anesthetist, Certified Registered | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-07-06 |
| 1447876529 | Leslee Lynne Smith | Speech-Language Pathologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-24 |
| 1356965727 | Haleigh Leister | Specialist/Technologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-06-02 |
| 1407482045 | Shajaylyn Lee-combs | Student in an Organized Health Care Education/Training Program | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906032 | Abigail Deemer | Physician Assistant | L Street, Bldg Hp-416, Camp Lejeune, NC 28547 | 2019-11-08 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1699338442 | Amanda Leigh Jepsen | Military Health Care Provider | Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2019-04-17 |
| 1306336995 | Erik Reid King | Physician Assistant | F Street Bldg. Hp206, Camp Lejeune, NC 28547 | 2018-05-18 |
| 1114434032 | David John Mcdermott | Specialist/Technologist | Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 | 2017-12-30 |
| 1235678434 | Nicolle Elizabeth Johnson | Occupational Therapist | 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 | 2017-02-21 |
| 1427435585 | Naval Medical Center Camp Lejeune | Military/U.S. Coast Guard Pharmacy | Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 | 2015-04-28 |
| 1043634173 | Garrett Michael Wren | Obstetrics & Gynecology | Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 | 2014-02-10 |
| 1245662436 | Samuel Maluil | Internal Medicine | Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 | 2013-07-30 |
| Find all providers in zip 28547 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215308390 | Jan Henrik Lemar | Physician Assistant | A71 Fl1 Rm Bas, 2nd Reconnaissance Battalion, Camp Lejeune, NC 28542-0138 | 2015-10-14 |
| 1932244803 | Steven Galeski | Physician Assistant | Ii Mef Headquarters Group, Group Aid Station, Camp Lejeune, NC 28542 | 2007-02-20 |
| 1801291489 | Christopher Mullahey | Physician Assistant | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 | 2014-10-25 |
| 1588900930 | Andrew Harold Page | Physician Assistant | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2012-12-12 |
| 1083996466 | Laura Kathleen Cargill | Physician Assistant | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2011-09-12 |
| 1619297793 | Timothy Edward Mcveigh | Physician Assistant | 100 Brewster Blvd, Naval Hospital Camp Lejeune, Camp Lejeune, NC 28547-2538 | 2010-06-11 |
| 1356504641 | Julie Michelle Cole | Physician Assistant | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2008-07-07 |
| 1477712982 | Jeffrey Leo Fortier | Physician Assistant | 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2008-06-09 |
| 1386786002 | Terry Dale Schiffbauer | Physician Assistant | 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2007-02-12 |
| 1902870538 | Angela M Nipper | Physician Assistant | 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | 2006-02-13 |
| Find all providers in CAMP LEJEUNE | ||||
| City | CAMP LEJEUNE |
| Zip Code | 28547 |
Please comment or provide details below to improve the information on MR. MICHAEL LEE MICHELLI.
| 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.