Jeffrey Evan Michaelson in Marietta - Critical Care Medicine
Jeffrey Evan Michaelson - NPI 1063495521
Jeffrey Evan Michaelson is a Critical Care Medicine in Marietta, Georgia. Jeffrey Evan Michaelson practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Jeffrey Evan Michaelson is 1063495521. The last update date is 2019-10-17.
Jeffrey Evan Michaelson's current location address is 55 Whitcher St Ne, Marietta, Georgia. You can contact this provider via phone number 7704221372 and fax number 7704239651. The mailing address for Jeffrey Evan Michaelson is 55 Whitcher St Ne, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Evan Michaelson |
|---|---|
| Address | 55 Whitcher St Ne, Marietta, Georgia |
| Phone Number | 7704221372 |
| Fax Number | 7704239651 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063495521 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2019-10-17 |
Provider Mailing Address Detail
| Address | 55 Whitcher St Ne |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300601155 |
| Phone Number | 7704221372 |
| Fax Number | 7704239651 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | 37623 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00645147C | GA | -- | |
| 2999766 | GHI | ||
| 202I294296 | GA | MEDICARE PTAN | |
| 290012142 | GA | RAILROAD MEDICARE | |
| 5341107 | AETNA | ||
| 58-1831482 | GA | FEDERAL TAX IDENTIFICATION NUM | |
| 767305 | GA | BLUE CROSS BLUE SHIELD | |
| 932200001 | GA | WORKERS COMPENSATION | |
| 5932 | GA | KAISER | |
| 6054810006 | CIGNA |
Post Comment/ Review Below
What is the unique identification code assigned to Jeffrey Evan Michaelson by the Centers for Medicare & Medicaid Services?
The Jeffrey Evan Michaelson has been issued the NPI (National Provider Identifier) 1063495521. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jeffrey Evan Michaelson is located?
The Jeffrey Evan Michaelson is situated at the following address: 55 Whitcher St Ne, Marietta, GA, 300601155.
What is Jeffrey Evan Michaelson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeffrey Evan Michaelson is Critical Care Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Rc0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063495521 to Jeffrey Evan Michaelson?
The Centers for Medicare & Medicaid Services assigned the 1063495521 to Jeffrey Evan Michaelson on 2005-11-29.
When was the information related to Jeffrey Evan Michaelson most recently updated or refreshed?
The details pertaining to the Jeffrey Evan Michaelson, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-10-17.