DR. JOHN EDWARD MICELI (NPI# 1982780862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982780862 |
| Entity Type | Individual |
| Full Name | DR. JOHN EDWARD MICELI |
| Credential | D.M.D. |
| Practice Address |
9984 Martin Ave Lake City PA 16423-1527 |
| Mailing Address |
944 Aurora Ave Girard PA 16417-1246 |
| Practice Telephone | 8147745242 |
| Practice Fax Number | 8147745242 |
| Mailing Telephone | 8147741498 |
| Mailing Fax Number | 8147745242 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
30.021870 | OH | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
12971 | MD | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS-030548-L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649348251 | John Miceli Jr. | Chiropractor | 1521 W Whittier Blvd, La Habra, CA 90631-3616 | 2006-12-01 |
| 1003909953 | John S Miceli | Dentist | 306 Main St, Wilmington, MA 01887-2725 | 2006-10-02 |
| Street Address |
9984 MARTIN AVE |
| City | LAKE CITY |
| State | PA |
| Zip Code | 16423-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093794000 | Deborah Elaine Bishop | Family Medicine | 9984 Martin Ave, Lake City, PA 16423-1527 | 2006-01-10 |
| 1073761441 | Bishop Family Medicine, P.C. | Family Medicine | 9984 Martin Ave, Lake City, PA 16423-1527 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700231594 | David Godoy | Dietitian, Registered | 10363 Clifton Dr, Lake City, PA 16423-1218 | 2016-04-28 |
| 1851727945 | Renee Wahlenmayer | Speech-Language Pathologist | 2426 Maple Ave, Lake City, PA 16423-1339 | 2013-09-19 |
| 1598716896 | Girard School District | Local Education Agency (LEA) | 2556 Maple Ave, Lake City, PA 16423-1515 | 2006-05-12 |
| 1336297969 | Lake City Fire Company | Ambulance | 2232 Rice Ave, Lake City, PA 16423-1552 | 2007-01-08 |
| 1073901021 | Jillian Marie Rhoades | Social Worker | 377 Edge Park Dr, Lake City, PA 16423-1710 | 2014-12-29 |
| 1265603153 | Erin Lynn Hoeksema | Occupational Therapist | 451 Lakeside Dr, Lake City, PA 16423-1855 | 2008-03-18 |
| 1902184468 | Amy Mccall | Occupational Therapist | 40 Godfrey Rd, Lake City, PA 16423-2108 | 2011-08-01 |
| 1992303846 | Colette L Bone | Counselor | 919 Godfrey Rd, Lake City, PA 16423-2110 | 2020-10-13 |
| 1720245145 | William Howard Johnson | Registered Nurse | 2626 Acorn Dr, Lake City, PA 16423-2610 | 2008-05-22 |
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136242 | Perry Dental, Ltd. | Dentist | 210 N. Lakeshore Dr., Lake City, MN 55041 | 2018-03-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1609296995 | Jimmy Harden | Dentist | 1283 Sw Zesty Cir Apt 101, Lake City, FL 32025-0729 | 2014-04-24 |
| 1326280553 | Lake City Dental Clinic | Dentist | 700 North Henson St, Lake City, CO 81235-0999 | 2009-04-02 |
| 1912161944 | Family First Dental of Primghar, P.C. | Dentist | 1331 W Main St, Lake City, IA 51449-1585 | 2008-07-18 |
| 1952560559 | Edward Nelson Morse | Dentist | 216 Se Corrections Way, Lake City, FL 32025-2013 | 2008-06-09 |
| 1912112541 | Michael L Jarrell | Dentist | 1166 Sw Main Blvd, Lake City, FL 32025-5780 | 2007-05-14 |
| 1497880611 | Reeve G Abraben | Dentist | 182 S Marion Ave, Lake City, FL 32025-4354 | 2007-02-21 |
| 1386792513 | Christie Lorraine Cason Wheeler | Dentist | 272 Sw Bentley Pl, Lake City, FL 32025-6972 | 2007-01-05 |
| 1659435287 | Michael Francis Lahey | Dentist | 301 N Main, Lake City, MI 49651 | 2006-12-20 |
| Find all providers in LAKE CITY | ||||
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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.