Peter John Michaelson, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Practice address

2029 S 17TH St
Wilmington, NC 28401-6600

Phone

(910) 798-6500

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Peter John Adler-Michaelson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063540599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 HEAD RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092220",
            "telephone_number": "910-616-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016600",
            "telephone_number": "910-798-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "ADLER-MICHAELSON",
            "middle_name": "JOHN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael R Defee DMD PHD PLLC
• Amanda Leigh Michael, CRNA
• Ava Helene Michael, LCMHCA
• Brenda Lee Michael, LCSW
• Jaimee Ann Miles Michael, DDS
• Michele Simpson DDS PLLC
• Alexis G Michonski, MSW, LCSWA
• Susan Miciolek, PHARMACIST
• Danielle McCord Mickelonis, LCMHC, LCAS
• Melissa Middlebrook, LCSWA

• Neuromusculoskeletal Medicine & OMM Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Neuromusculoskeletal Medicine & OMM Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.