Organization Active NPI

Gildo a Micheletti M.D. PA

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1548539877
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E2738 Issued in TX
Legal business name
GILDO A MICHELETTI M.D. PA
Practice address
1213 Hermann Dr
Ste #540
Houston, TX 77004
Phone
(713) 521-1137
Fax
(713) 520-9243
NPI assigned
Dec 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Gildo A Micheletti, M.D.
Title
President
Phone
(713) 521-1137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X E2738 TX Primary

Addresses

Primary practice location

1213 Hermann Dr
Ste #540
Houston, TX 77004

Mailing address

1213 Hermann
Ste 540
Houston, TX 77004-7089
Phone (713) 521-1137

National Provider Directory

National Provider Directory

Locations

6560 Fannin St
Ste 2090
Houston, TX 77030
Phone (713) 797-1514

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1548539877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN",
            "address_2": "STE 540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047089",
            "telephone_number": "713-521-1137",
            "fax_number": "713-520-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "STE #540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77004",
            "telephone_number": "713-521-1137",
            "fax_number": "713-520-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILDO A MICHELETTI M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "MICHELETTI",
        "authorized_official_first_name": "GILDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-521-1137",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E2738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.