Organization Active NPI

Micheal C Pistole, MD

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1659560324
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD13378 Issued in DC
Legal business name
MICHEAL C PISTOLE, MD
Practice address
2112 F St NW
Suite 603
Washington, DC 20037-2715
Phone
(202) 331-1042
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Micheal Pistole, M.D.
Title
Owner
Phone
(202) 331-1042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD13378 DC Primary

Addresses

Primary practice location

2112 F St NW
Suite 603
Washington, DC 20037-2715

Mailing address

2112 F St NW
Suite 603
Washington, DC 20037-2715

Other identifiers 1

IdentifierTypeStateIssuer
023385800MedicaidDC

National Provider Directory

National Provider Directory

Locations

2112 F St NW
Ste 603
Washington, DC 20037
Phone (202) 331-1042

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1659560324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 F ST NW",
            "address_2": "SUITE 603",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW",
            "address_2": "SUITE 603",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372715",
            "telephone_number": "202-331-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEAL C PISTOLE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "PISTOLE",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-331-1042",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD13378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023385800",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.