Richard D Michelstein, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD022716E Issued in PA

Practice address

610 Wyoming Ave
Suite 1
Kingston, PA 18704-3702

Phone

(570) 288-5441

Fax

(570) 288-9613

NPI assigned

Jun 23, 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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1922034735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "address_2": "SUITE 1",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSTEIN",
        "first_name": "RICHARD",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD022716E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000915334",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William R Mericle, LCSW
• Leah Alexandra Merrick, PA-C
• Michael E Fath, D.O., P.C
• Michael F. Lombard MD Stanley a. Lobitz MD Gen PTRS
• Michele Mattie, PHD, LLC
• Thomas Mickowski, CRNP
• Allison Middleton, LSW
• Eileen Catherine Miller, OTR/L
• Jennifer Christine Miller, COTA
• Lucia Miller, LSW

• Gastroenterology Physician in Kingston, PA
• Providers in Kingston, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.