Mick S. Meiselman, M.D., Professional Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G42562 Issued in CA

Legal business name

MICK S. MEISELMAN, M.D., PROFESSIONAL CORPORATION

Practice address

1551 Bishop St
Suite 230
San Luis Obispo, CA 93401-4635

Phone

(805) 540-2098

Fax

(805) 556-3090

NPI assigned

Oct 26, 2016

Last updated

Oct 26, 2016By 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

Mick S Meiselman, M.D.

Title

Physician/ President

Phone

(805) 540-2098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1285186106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST",
            "address_2": "SUITE 230",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014635",
            "telephone_number": "805-540-2098",
            "fax_number": "805-556-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST",
            "address_2": "SUITE 230",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014635",
            "telephone_number": "805-540-2098",
            "fax_number": "805-556-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICK S. MEISELMAN, M.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "MEISELMAN",
        "authorized_official_first_name": "MICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/ PRESIDENT",
        "authorized_official_telephone_number": "805-540-2098",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G42562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Vanessa Michel, RBT
• Fabiola Michel
• Leslie B Michel, MD
• Ross G Michel, M.D
• David Michels
• Heidi M Mikel, MSW
• Natalie Mikkelsen, OTR/L
• Bradley Milde, D.M.D., D.H.SC.
• Susanna Miller-Pence, LCSW
• Ashlee Miller

• Gastroenterology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.