Michael L Michetti (NPI# 1245220789, PAC ID# 4486604501) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1245220789 |
| PAC ID by PECOS | 4486604501 |
| Professional Enrollment ID | I20090319000452 |
| Full Name | Michael L Michetti |
| Organization Legal Name | DRS. MICHETTI, TABOR AND WEBER PA |
| Address |
702 Russell Ave Gaithersburg MD 20877-2606 |
| Phone Number | 3017366900 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1968 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4183674336 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 702 Russell Ave, Gaithersburg, MD 20877-2606 | 3017366900 | DRS. MICHETTI, TABOR AND WEBER PA |
| 702 Russell Ave, Suite 103, Gaithersburg, MD 20877-2606 | 3017366900 | DRS. MICHETTI, TABOR AND WEBER PA |
| Organization Legal Name | DRS. MICHETTI, TABOR AND WEBER PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Meade Weber | Podiatry | Drs. Michetti, Tabor and Weber Pa | 702 Russell Ave, Suite 103, Gaithersburg, MD 20877-2606 |
| Lani A Nagorski | Podiatry | Drs. Michetti, Tabor and Weber Pa | 702 Russell Ave, Suite 103, Gaithersburg, MD 20877-2606 |
| Brent E Tabor | Podiatry | Drs. Michetti, Tabor and Weber Pa | 702 Russell Ave, Suite 103, Gaithersburg, MD 20877-2606 |
| Street Address |
702 RUSSELL AVE |
| City | GAITHERSBURG |
| State | MD |
| Zip | 20877-2606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Meade Weber | Podiatry | Drs. Michetti, Tabor and Weber Pa | 702 Russell Ave, Suite 103, Gaithersburg, MD 20877-2606 |
| Adam P Rubin | Optometry | 702 Russell Ave, Suite 105, Gaithersburg, MD 20877-2606 | |
| Lani A Nagorski | Podiatry | Drs. Michetti, Tabor and Weber Pa | 702 Russell Ave, Suite 103, Gaithersburg, MD 20877-2606 |
| Brent E Tabor | Podiatry | Drs. Michetti, Tabor and Weber Pa | 702 Russell Ave, Suite 103, Gaithersburg, MD 20877-2606 |
| Paul Heyman | Optometry | Montgomery County Eye Care LLC | 702 Russell Ave, Suite 105, Gaithersburg, MD 20877-2606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C York | Psychologist, Clinical | 413 Washington Grove Lane, Gaithersburg, MD 20877-1182 | |
| Shani Cerritos | Clinical Social Worker | Family Care Associates | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 |
| Memouna M Foudjou | Nurse Practitioner | Family Care Associates | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 |
| Kelsey O'donnell | Clinical Social Worker | Family Care Associates | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 |
| Olga Varnacheva | Nurse Practitioner | Family Care Associates | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 |
| Caleb Adu | Clinical Social Worker | Family Care Associates | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 |
| Michelle H Tan | Internal Medicine | 600 S Frederick Ave, Suite 302, Gaithersburg, MD 20877-1277 | |
| Cynthia F London | Clinical Social Worker | 604 S Frederick Ave, Suite 215, Gaithersburg, MD 20877-1282 | |
| Harold M Graves Iii | Clinical Social Worker | 604 S Frederick Ave, Suite 213, Gaithersburg, MD 20877-1282 | |
| Andrea Quismorio | Clinical Social Worker | Ramesh Kumar Thapar Mdpa | 604 S Frederick Ave, Suite 213, Gaithersburg, MD 20877-1282 |
| Find all physicians in zip 20877 | |||
| City | GAITHERSBURG |
| Zip Code | 20877 |
| Specialty | PODIATRY |
| City + Specialty | GAITHERSBURG + PODIATRY |
Please comment or provide details below to improve the information on Michael L Michetti.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.