Barbara Michaelis, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD22097 Issued in OR

Practice address

94220 4TH St
Gold Beach, OR 97444-7772

Phone

(541) 247-3974

Fax

(541) 247-2435

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Radiology Associates PC

  • Diagnostic Radiology Physician
  • Springfield, OR
  • NPI 1720018393
  NPD (past)
• Radiology Associates, Inc.

  • Diagnostic Radiology Physician
  • Springfield, OR
  • NPI 1164452736
  NPD (past)
• Pacific Northwest Radiology LLC

  • Diagnostic Radiology Physician
  • Juneau, AK
  • NPI 1528284387
  NPD (past)
• Phoenix Radiology, PLLC

  • Vascular & Interventional Radiology Physician
  • Lewiston, ID
  • NPI 1164493334

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1619913399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62668 W CATCHING RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974207333",
            "telephone_number": "541-404-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94220 4TH ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974447772",
            "telephone_number": "541-247-3974",
            "fax_number": "541-247-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELIS",
        "first_name": "BARBARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-03-20",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD22097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134265",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Ashley McNair
• Barbara Lynne Meininger, LCSW
• Metasequoia Emergency Physicians, LLC
• Agnieszka Mglej Kemp
• Michael O'Gara
• Laura Middleton, CD(DONA)
• Kay Minkler
• Miranda Medical PLLC
• Mishelle Anne Moffett, RN
• Elissa Ann Moore, DNP, RN, FNP-BC

• Diagnostic Radiology Physician in Gold Beach, OR
• Providers in Gold Beach, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.