DR. DAVID P MICHELIN (NPI# 1831180140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831180140 |
| Entity Type | Individual |
| Full Name | DR. DAVID P MICHELIN |
| Credential | MD |
| Practice Address |
217 S Madison Street Traverse City MI 49684-2320 |
| Mailing Address |
2513 Momentum Pl Chicago IL 60689-5325 |
| Practice Telephone | 2313928400 |
| Practice Fax Number | 2319357888 |
| Mailing Telephone | (231) 935-6080 |
| Mailing Fax Number | 2319356081 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2017-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
4301056115 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3476846 | 05 |
| Street Address |
217 S MADISON STREET |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215308036 | Julie Comfort | Nurse Practitioner | 217 S Madison Street, Traverse City, MI 49684-3230 | 2015-10-20 |
| 1487909396 | Jacalyn Sue Lasich | Social Worker | 217 S Madison Street, Traverse City, MI 49684-2320 | 2012-07-17 |
| 1023372687 | Munson Medical Center | Internal Medicine | 217 S Madison Street, Ste 2, Traverse City, MI 49684 | 2012-06-28 |
| 1760793368 | Kristian Michael Koller | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684 | 2010-06-29 |
| 1770746257 | Joshua Michael Ruch | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684 | 2008-07-06 |
| 1972772259 | Kendra G Worden | Nurse Practitioner | 217 S Madison Street, Traverse City, MI 49684-2320 | 2008-02-21 |
| 1316064041 | Zachary Hector-word | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684 | 2007-03-26 |
| 1356353791 | Nathan Rousse | Nurse Practitioner | 217 S Madison Street, Traverse City, MI 49684-2320 | 2006-08-13 |
| 1992749279 | Dana Lucile Hoffman | Nurse Practitioner | 217 S Madison Street, Traverse City, MI 49684-2320 | 2006-06-16 |
| 1477519940 | David S Gordon | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684-2320 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164692265 | David P Michelin Md PC | Obstetrics & Gynecology | 315 N Division St, Ste 220, Traverse City, MI 49684-2009 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831611870 | Vinay K Malviya Md PC | Obstetrics & Gynecology | 26850 Providence Pkwy Ste 530, Novi, MI 48374-1268 | 2017-07-12 |
| 1396985206 | Christopher E. Hummel | Obstetrics & Gynecology | 145 Michigan St Ne Ste 6300, Grand Rapids, MI 49503-2562 | 2009-03-05 |
| 1346415494 | Morgan L Taylor | Obstetrics & Gynecology | 3909 Woodward Ave, Apartment 208, Detroit, MI 48201 | 2008-04-29 |
| 1699868752 | J Rebecca Liu | Obstetrics & Gynecology | 5301 E Huron River Dr Ste 208, Ypsilanti, MI 48197-1051 | 2006-10-02 |
| 1578524021 | Jayson Field | Obstetrics & Gynecology | 3577 W 13 Mile Rd Ste 302, Royal Oak, MI 48073-6710 | 2006-03-31 |
| 1891782736 | James Ewell Graham Jr. | Obstetrics & Gynecology | 302 Kensington Ave, Genesys Hurley Cancer Institute, Flint, MI 48503-2044 | 2005-10-05 |
| 1184623514 | Vinay Kumar Malviya | Obstetrics & Gynecology | 29877 Telegraph Rd Ste 304, Southfield, MI 48034-7660 | 2005-07-19 |
| 1235134461 | Michiana Hematology Oncology of Michigan, P.C. | Obstetrics & Gynecology | 4 Longmeadow Drive, Suite One, Niles, MI 49120 | 2005-06-15 |
| 1043660467 | Ella E M Brown Charitable Circle | Obstetrics & Gynecology | 200 N Madison St, Marshall, MI 49068-1143 | 2016-06-16 |
| 1902285752 | Barry Philip Rosen | Obstetrics & Gynecology | 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230-1923 | 2015-05-27 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.