NPIMap

Organization Active NPI

Rodney D Michaels MD PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Salem, OR
National Provider Identifier
1124064506
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD16437 Issued in OR
Legal business name
RODNEY D MICHAELS MD PC
Practice address
1585 Liberty St SE
Salem, OR 97302-4345
Phone
(503) 589-0565
Fax
(503) 589-0463
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Dr. Rodney Douglas Michaels, MDNPI 1386691061
Title
Owner
Phone
(503) 589-0565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X MD16437 OR Primary

Addresses

Primary practice location

1585 Liberty St SE
Salem, OR 97302-4345

Mailing address

1585 Liberty St SE
Salem, OR 97302-4345
Phone (503) 589-0565

Other identifiers 4

IdentifierTypeStateIssuer
1386691061OtherDR MICHAELS NPI
058292MedicaidOR
1699715227OtherBARBARA BRITSCH NPI
137534MedicaidOR

Other names 1

  • Firehouse Diabetes & Endocrine Center Doing business as

National Provider Directory

National Provider Directory

Locations

1585 Liberty St SE
Salem, OR 97302
Phone (503) 589-0565

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1124064506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024345",
            "telephone_number": "503-589-0565",
            "fax_number": "503-589-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024345",
            "telephone_number": "503-589-0565",
            "fax_number": "503-589-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY D MICHAELS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "MICHAELS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-589-0565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OR",
            "license": "MD16437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR MICHAELS NPI",
            "identifier": "1386691061",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058292",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BARBARA BRITSCH NPI",
            "identifier": "1699715227",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137534",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Firehouse Diabetes & Endocrine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.