Michelle Louise Giese, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110002997 Issued in VA

Practice address

400 Longwood Ave
Farmville, VA 23901-1524

Phone

(434) 392-6101

Fax

(434) 392-1003

NPI assigned

Apr 22, 2009

Last updated

Apr 22, 2009By the provider in NPPES

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 names 1

• Miss Michelle Louise Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1740424605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LONGWOOD AVE",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011524",
            "telephone_number": "434-392-6101",
            "fax_number": "434-392-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LONGWOOD AVE",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011524",
            "telephone_number": "434-392-6101",
            "fax_number": "434-392-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIESE",
        "first_name": "MICHELLE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MARTIN",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Gates, ATS
• Sara Gaver
• General Business Concerns, Inc. (Central Virginia Neurosurgery, A Centra Health Affiliate)
• Genoa Healthcare LLC
• Teresa Gail George, LPC
• Colleen Marie Gleason, ED.M., M.S., L.P.C.
• Sally Jane Glowicki, MA
• Stephen H Goldberger, MD
• Michael A Goldman, DPM
• Good Life Counseling, LLC

• Medical Physician Assistant in Farmville, VA
• Providers in Farmville, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.