Mikaela Namey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA064319 Issued in PA

Practice address

625 W Ridge Pike Ste 300
Conshohocken, PA 19428-1180

Phone

(610) 825-1994

NPI assigned

Feb 22, 2023

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

Other names 1

• Mikaela Giuliani Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• True North Medical Group, LLC

  • Pediatrics Physician
  • Willow Grove, PA
  • NPI 1750929907
  NPD (past)
• True North Medical Group, LLC

  • Family Medicine Physician
  • Abington, PA
  • NPI 1811477573
  NPD (past)

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1497453096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 KENT DR",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541926",
            "telephone_number": "215-350-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W RIDGE PIKE STE 300",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281180",
            "telephone_number": "610-825-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMEY",
        "first_name": "MIKAELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064319",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006374",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PHYSICIAN ASSISTANT",
            "identifier": "MA064319",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPATHIC PHYSICIAN ASSISTANT",
            "identifier": "OA006374",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAELA",
            "last_name": "GIULIANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zoey A Mureddu
• Duduzile L Musa, MD
• Muscara Chiropractic
• William Edward Muscara, D.C..
• Monique Adrianna Myers, PT, DPT
• Brian Nast, PHARMD
• National Mentor Healthcare LLC, D.B.a. PA Mentor
• Carly Natko, RD, LDN
• Niki Athanasia Nazirides
• Madelyn Neeld

• Physician Assistant in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.