Beno Michel, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

35031398 Issued in OH

Practice address

23250 Chagrin Blvd
Suite 350
Beachwood, OH 44122-5470

Phone

(216) 765-7474

Fax

(216) 765-7484

NPI assigned

Sep 27, 2006

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750472536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD",
            "address_2": "SUITE 350",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225470",
            "telephone_number": "216-765-7474",
            "fax_number": "216-765-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD",
            "address_2": "SUITE 350",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225470",
            "telephone_number": "216-765-7474",
            "fax_number": "216-765-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "BENO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OH",
            "license": "35031398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael B. Leach PH.D., Inc.
• Michael B. Schachere, PHD, Inc.
• Michael E Singerman DPM
• Michael Kalus MD
• Michael Maclean LLC (Chagrin Chiropractic and Wellness)
• Bryan J Michelow, M.D.
• Alexander Christopher Mickel, DMD
• Andre Kevin Mickel, DDS MSD
• Sabrina Eileen Mickel, DDS
• Hannah Mickle, APRN,FNP-C

• Procedural Dermatology Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Procedural Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.