J. Michaelson, Jr. M.D. Facog, P.S.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD00031843 Issued in WA

Legal business name

J. MICHAELSON, JR. M.D. FACOG, P.S.

Practice address

1703 S Meridian Ste 301
Puyallup, WA 98371-7590

Phone

(253) 697-2453

NPI assigned

Sep 5, 2007

Last updated

Apr 29, 2011By 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

Julius Michaelson, Jr., M.D.

Title

President

Phone

(253) 697-2453

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Julius Michaelson Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Puyallup, WA
  • NPI 1598979213
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1518151224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 S MERIDIAN STE 301",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717590",
            "telephone_number": "253-697-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 S MERIDIAN STE 301",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717590",
            "telephone_number": "253-697-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAELSON, JR. M.D. FACOG, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "MICHAELSON, JR.",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-697-2453",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00031843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1088277",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Obstetrics & Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.