Aileen Ann Mickey, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MD 60074650 Issued in WA

Practice address

12911 120TH Ave NE
Evergreen Pulmonary Care Center, Suite G-105
Kirkland, WA 98034-3027

Phone

(425) 899-6972

Fax

(425) 899-6970

NPI assigned

Sep 26, 2005

Last updated

Jan 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael D Eulberg MD

  • Specialist
  • Kirkland, WA
  • NPI 1093785495
  NPD (past)
• Chest & Intensive Care Medicine, L.L.C.

  • Specialist
  • Somerset, NJ
  • NPI 1699953190
  NPD (past)
• Mainehealth New Hampshire Ambulatory Care

  dba MaineHealth Urgent Care

  • Urgent Care Clinic/Center
  • North Conway, NH
  • NPI 1356145148
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1235125188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34036",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241036",
            "telephone_number": "425-899-6972",
            "fax_number": "425-899-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE",
            "address_2": "EVERGREEN PULMONARY CARE CENTER, SUITE G-105",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343027",
            "telephone_number": "425-899-6972",
            "fax_number": "425-899-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKEY",
        "first_name": "AILEEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD 60074650",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD 60074650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8550485",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3145883",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Kumiko Michalak
• Stephanie Michalko
• Dakotah Michel
• Ramanda Michel, L.M.P
• Michitsuna Katafuchi, PLLC
• Sarah Virginia Miles, PA-C
• Milestone Behavioral Associates (Jigsaw Junction)
• Millennium Dental Clinic
• Millennium Dental Clinic
• Alie M Miller, LMP

• Pulmonary Disease Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Pulmonary Disease Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.