Active NPI
Gildo a Micheletti M.D. PA
- Dermatology Physician
- Houston, TX
National Provider Identifier
1548539877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- E2738
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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 DirectoryLocations
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.