Milton Siegfried Michaelis, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD00011294 Issued in WA

Practice address

2700 Clare Ave
Bremerton, WA 98310-3330

Phone

(360) 479-6555

Fax

(360) 479-8321

NPI assigned

Jun 29, 2008

Last updated

Jun 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214697600000",
    "number": "1538321740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57158 MEDINAH",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922536915",
            "telephone_number": "760-777-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLARE AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103330",
            "telephone_number": "360-479-6555",
            "fax_number": "360-479-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELIS",
        "first_name": "MILTON",
        "middle_name": "SIEGFRIED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-29",
        "last_updated": "2008-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00011294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1816107",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Meyer, PHARMD
• Angelique Meyers
• Darren Meyers
• Margaret Rose Mezen
• Michael W. Huey D.M.D. & Sevak Adamian D.D.S., M.S., P.S.
• Maxwell Michaels
• Timothy Sigurol Mickey
• Milagro Therapy Services LLC
• Brandi Lynn Milam
• Julie Lynn Milasich, OTR/L, CHT

• Diagnostic Radiology Physician in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Diagnostic Radiology Physician in Washington

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