Michelle J. Gottschlich, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD60544549 Issued in WA

Practice address

21600 Highway 99
Suite 260
Edmonds, WA 98026-8012

Phone

(425) 774-2650

Fax

(425) 774-2643

NPI assigned

Apr 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cellnetix Pathology, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Tucson, AZ
  • NPI 1598624207
  NPD (past)
• Trillium Anesthesia Services, PLLC

  • Anesthesiology Physician
  • Clinton Township, MI
  • NPI 1417522848
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1225090566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16504 9TH SEAVE 106",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126388",
            "telephone_number": "425-977-4620",
            "fax_number": "425-745-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 HIGHWAY 99",
            "address_2": "SUITE 260",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268012",
            "telephone_number": "425-774-2650",
            "fax_number": "425-774-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTSCHLICH",
        "first_name": "MICHELLE",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD60544549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043427",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle S Goodman, ARNP
• Glenn T Goodwin, PHD
• Gooseberry Speech Therapy LLC
• Dina M Gordon, M.D.
• Joanne M Gormley, DPM
• Vasanthi S Gowri, MD
• Maria Amoreth Ramiro Gozo, M.D.
• Debra Grady, MA - PSYCHOLOGY
• Darryl Graham, PSYD
• Tracy Lea Gramer, OTR/L, CHT

• Gastroenterology Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Gastroenterology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.