Active NPI
John A. Michos, MD
- Pulmonary Disease Physician
- Tappahannock, VA
National Provider Identifier
1215991229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101046833
- Practice address
- 659 Hospital Rd
A-101
Tappahannock, VA 22560-5000 - Phone
- (804) 443-9379
- NPI assigned
- Apr 14, 2006
- Last updated
- Sep 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 0101046833 | VA | Primary |
Addresses
Primary practice location
659 Hospital Rd
A-101
Tappahannock, VA 22560-5000
Mailing address
856 J Clyde Morris Blvd
Suite a
Newport News, VA 23601-1318
Phone (804) 443-9379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010039703 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101046833 | VA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Riverside Gastroenterology Specialists Williamsburg
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1215991229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD",
"address_2": "SUITE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "804-443-9379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 HOSPITAL RD",
"address_2": "A-101",
"city": "TAPPAHANNOCK",
"state": "VA",
"postal_code": "225605000",
"telephone_number": "804-443-9379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHOS",
"first_name": "JOHN",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101046833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010039703",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tappahannock, VA
- Jill T Lewis, MSPT
- Ralph Russell Lewis Jr., MSPT
- William Michael Lyth, MD
- Samuel Maluil, DO
- Med-Air Inc (Med-Air Homecare)
- Jennifer Lordan Milby, OTR/L
- Krystle Shari Monroe
- Victoria Gay Murdock, PHD, MSW, LCSW, REV.
- Patrick Liam Murphy, MD
- National Nurses Services, Inc. (d/b/a/ MID-ATLANTIC HOME HEALTH)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.