Mark Miceli

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

302 Issued in NC

Legal business name

MARK MICELI

Practice address

8301 University Exec Park Dr Ste 112
Charlotte, NC 28262-3593

Phone

(704) 547-0000

Fax

(704) 547-0460

NPI assigned

Dec 8, 2006

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Miceli, D.P.M.NPI 1881678118

Title

Owner

Phone

(704) 547-0000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Miceli, DPM

  • Primary Podiatric Medicine Podiatrist
  • Gastonia, NC
  • NPI 1881678118
  Authorized official Same address or phone

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1275693509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 UNIVERSITY EXEC PARK DR",
            "address_2": "SUITE 112",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621366",
            "telephone_number": "704-547-0000",
            "fax_number": "704-547-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 UNIVERSITY EXEC PARK DR STE 112",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623593",
            "telephone_number": "704-547-0000",
            "fax_number": "704-547-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MICELI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "MICELI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-547-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marino, LCSW
• Amy C Marion, LAT, ATC
• Ellen Marion
• Sarah Giroux Marion
• Mark a. Tripp DDS., PA
• Thomas Michael Markeson, DDS
• Karen Market, SLP
• Melanie Reyer Markey, PA-C
• Caroline Lynott Markham, PT, DPT
• David Wade Markham, D.D.S.

• Foot & Ankle Surgery Podiatrist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.