Michael D John Md Pc in Edmond - Dermatology
Michael D John Md Pc - NPI 1912043019
Michael D John Md Pc is a Dermatology in Edmond, Oklahoma. Michael D John Md Pc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Michael D John Md Pc is 1912043019. The last update date is 2020-08-22.
Michael D John Md Pc's current location address is 620 W 15th St, Edmond, Oklahoma. You can contact this provider via phone number 4053590551 and fax number 4053593061. The mailing address for Michael D John Md Pc is 620 W 15th St, Edmond, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael D John Md Pc |
|---|---|
| Address | 620 W 15th St, Edmond, Oklahoma |
| Phone Number | 4053590551 |
| Fax Number | 4053593061 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | John D Michael |
| Credentials | MD |
| Telephone Number | 4053590551 |
NPI Number Detail
| NPI Number | 1912043019 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 620 W 15th St |
|---|---|
| City | Edmond |
| State | Oklahoma (OK) |
| Post Code | 730133617 |
| Phone Number | 4053590551 |
| Fax Number | 4053593061 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 15126 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2532523004 | OK | CIGNA | |
| 4234977 | OK | AETNA | |
| 402760407001 | OK | BLUE CROSS BLUE SHIEL |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Michael D John Md Pc by the Centers for Medicare & Medicaid Services?
The Michael D John Md Pc has been assigned the NPI (National Provider Identifier) 1912043019 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Michael D John Md Pc's facilities are geographically located?
The facilities of Michael D John Md Pc are physically situated at the following location: 620 W 15Th St, Edmond, OK, 730133617.
What is the area of specialization for Michael D John Md Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael D John Md Pc is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
On what date did the Michael D John Md Pc receive the assignment of its 1912043019 from the Centers for Medicare & Medicaid Services?
The Michael D John Md Pc was issued its 1912043019 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date was the information regarding Michael D John Md Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael D John Md Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.