Donald Michael, MD, PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01034859 Issued in IN

Legal business name

DONALD MICHAEL, MD, PC

Practice address

211 E Mishawaka Ave
Mishawaka, IN 46545-6602

Phone

(574) 254-0103

Fax

(574) 254-0119

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Donald Joseph Michael, M.D.

Title

Medical Director

Phone

(574) 254-0103

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1124385323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E MISHAWAKA AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456602",
            "telephone_number": "574-254-0103",
            "fax_number": "574-254-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E MISHAWAKA AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465456602",
            "telephone_number": "574-254-0103",
            "fax_number": "574-254-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD MICHAEL, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "574-254-0103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01034859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10093169A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Franklin Moncrief Dobson, M.D.
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• Ronald K Downs, M.D., F.A.C.S.

• Psychiatry Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.