Michael A Demichele, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD058244L Issued in PA

Practice address

220 Wilson St
Carlisle, PA 17013-3697

Phone

(717) 249-1929

Fax

(717) 249-9332

NPI assigned

Nov 3, 2005

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1376534776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WILSON ST STE 109",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133650",
            "telephone_number": "717-249-1929",
            "fax_number": "717-249-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WILSON ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133697",
            "telephone_number": "717-249-1929",
            "fax_number": "717-249-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMICHELE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD058244L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015753620002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.demichele.p1@direct.masland.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address through NextGen Share",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "220 Wilson St",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170133697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Deleon, CRNP
• David A Dell, M.D.
• Natalie Dell
• Gail Barbara Dellinger, PTA
• Darci L. Dellwardt, PA-C
• Sondra M Depalma, PA-C
• Tiffany Depaoli
• Judith Nihill Dericco, L.P.C.
• Amie Destefano
• Michael Anthony Di Meo, PT, DPT

• Internal Medicine Physician in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.