David I Michaelson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

009987-1 Issued in NY

Practice address

1101 Nott St
Department of Emergency
Schenectady, NY 12308-2425

Phone

(518) 243-4121

NPI assigned

Jul 6, 2006

Sex

Male

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clifton-Fine Healthcare CorporationGroup PAC ID 9739090382, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clifton-Fine Hospital Hospital, Star Lake, NY, CCN 330799

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Clifton-Fine Healthcare Corporation

  • Rural Acute Care Hospital
  • Star Lake, NY
  • NPI 1235184649
  Medicare reassignment Care Compare group
• Ellis Hospital

  • Emergency Medicine Physician
  • Schenectady, NY
  • NPI 1558547034
  Medicare reassignment NPD
• Westchester Medical Center Advanced Physician Services, PC

  • Surgery Physician
  • Valhalla, NY
  • NPI 1912131392
  Medicare reassignment NPD
• Emergency Care Services of New York, P.C.

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1639236656
  Medicare reassignment
• Physicians Medical Associates New York PC

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1073386421
  Medicare reassignment
• Westchester Medical Center Advanced Physician Services PC

  • Anesthesiology Physician
  • Valhalla, NY
  • NPI 1740687458
  NPD
• Adirondack Emergency Medicine, PC

  • Emergency Medicine Physician
  • Ellenville, NY
  • NPI 1174572978
  NPD (past)
• Catholic Charities of Diocese of Albany

  • Voluntary or Charitable Agency
  • Glens Falls, NY
  • NPI 1245369495
  NPD (past)
• Dr. Timothy J. Maggs Chiropractic P.C.

  • Chiropractor
  • Schenectady, NY
  • NPI 1891877551
  NPD (past)
• Eos Medical Group PC

  • Emergency Medicine Physician
  • Carmel, NY
  • NPI 1730119926
  NPD (past)
• Northeast Emergency Medical Associates, PC

  • Emergency Medicine Physician
  • Schenectady, NY
  • NPI 1003844606
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clifton-Fine Healthcare Corporation

  • Rural Acute Care Hospital
  • Star Lake, NY
  • NPI 1235184649
  Care Compare affiliation

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1245262997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 ERIE BLVD",
            "address_2": "ATTN: THE MEDICAL GROUP",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051026",
            "telephone_number": "518-243-1020",
            "fax_number": "518-243-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST",
            "address_2": "DEPARTMENT OF EMERGENCY",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082425",
            "telephone_number": "518-243-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "DAVID",
        "middle_name": "I",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009987-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02588434",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeannine Messina
• Metcare RX Schenectady Pharmaceutical Services, LLC
• Metin Koluksuz, M.D.P.C.
• Lauren Ashley Meyer, OT
• Emily Meyers, PMHNP-BC
• Marta Michalik, D.D.S.
• Michelle Durling
• Michelle L Hall, OD, PLLC
• John Mickle
• Philip John Mika, M.D.

• Physician Assistant in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.