Active NPI
Robert I Michaelson, MD
- Obstetrics & Gynecology Physician
- Willow Grove, PA
National Provider Identifier
1760488100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD019523E
- Practice address
- 2729 Blair Mill Rd
Willow Grove, PA 19090-1042 - Phone
- (215) 672-2229
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD019523E | PA | Primary |
Addresses
Primary practice location
2729 Blair Mill Rd
Willow Grove, PA 19090-1042
Mailing address
2729 Blair Mill Rd
Willow Grove, PA 19090-1042
Phone (215) 672-2229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD019523E | PA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1760488100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2729 BLAIR MILL RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901042",
"telephone_number": "215-672-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2729 BLAIR MILL RD",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901042",
"telephone_number": "215-672-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELSON",
"first_name": "ROBERT",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD019523E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.