Gregory J. Mickunas in Gallipolis - Emergency Medicine

Gregory J. Mickunas - NPI 1225076458

Gregory J. Mickunas is a Emergency Medicine in Gallipolis, Ohio. Gregory J. Mickunas practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Gregory J. Mickunas is 1225076458. The last update date is 2023-02-17.

Gregory J. Mickunas's current location address is 90 Jackson Pike, Gallipolis, Ohio. You can contact this provider via phone number 7404465201 and fax number 7404465761. The mailing address for Gregory J. Mickunas is 90 Jackson Pike, Gallipolis, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory J. Mickunas
Address 90 Jackson Pike, Gallipolis, Ohio
Phone Number 7404465201
Fax Number 7404465761
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1225076458
Provider Enumeration Date 2006-06-02
Last Updated Date 2023-02-17

Provider Mailing Address Detail

Address 90 Jackson Pike
City Gallipolis
State Ohio (OH)
Post Code 456311560
Phone Number 7404465201
Fax Number 7404465761

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 21326
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
185284 OH UNISON MEDICAID #
3002989000 WV --
205913 ANTHEM BCBS
930106929 RR MEDICARE
1714125 MOUNTAIN STATE BCBS
2183131 OH --
310917085143 OH OHIO MEDICAID CARESOURCE

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FAQs about Gregory J. Mickunas

What is the unique 10-digit identification code assigned to Gregory J. Mickunas by the Centers for Medicare & Medicaid Services?

The Gregory J. Mickunas has been issued the NPI (National Provider Identifier) 1225076458, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Gregory J. Mickunas?

The Gregory J. Mickunas is situated at 90 Jackson Pike, in the city of Gallipolis, state of OH, with the zip code 456311560.

What is Gregory J. Mickunas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gregory J. Mickunas is Emergency Medicine, and the taxonomy code that classifies this field of practice is 207P00000X.

On what date was the 1225076458 assigned to Gregory J. Mickunas?

The Gregory J. Mickunas was issued its 1225076458 on 2006-06-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Gregory J. Mickunas's information last updated?

The Gregory J. Mickunas's information was last updated on 2023-02-17.

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