Individual provider Active NPI

Michelle Marie Gosselin, M.D.

  • Orthopaedic Trauma Physician
  • San Diego, CA
National Provider Identifier
1003254269
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
A-174126 Issued in CA
Practice address
34800 Bob Wilson Drive
Dept of Orthopedics
San Diego, CA 92134-0001
Phone
(203) 640-5521
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X R4776 TX
Orthopaedic Trauma Physician 207XX0801X A-174126 CA Primary

Addresses

Primary practice location

34800 Bob Wilson Drive
Dept of Orthopedics
San Diego, CA 92134-0001

Mailing address

34800 Bob Wilson Drive
Dept of Orthopedics
San Diego, CA 92134-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250707002476 OR Practitioner - Orthopedic Surgery 2264661792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Warren Alpert Medical School of Brown University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Oregon Orthopedics IncGroup PAC ID 1456256528, 64 clinicians

Practice addresses (Care Compare)

2780 E Barnett Rd
Suite 200
Medford, OR 97504-8674
Phone (541) 779-6250

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R4776TXMDOrthopaedic Surgery Physician
A-174126CAMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oregon Orthopedics Inc Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients
Southern Oregon Orthopedics Inc Orthopaedic Surgery CurrentSince Aug 1, 2025 Accepting new patients

Locations

2780 E Barnett Rd
Ste 200
Medford, OR 97504
Phone (541) 779-6250

Interoperability endpoints

  • Direct secure messaging: mgosselin25038@direct.uth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003254269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DRIVE",
            "address_2": "DEPT OF ORTHOPEDICS",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921340001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DRIVE",
            "address_2": "DEPT OF ORTHOPEDICS",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921340001",
            "telephone_number": "203-640-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSELIN",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "R4776",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "A-174126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.