DR. JONATHAN MICIELI (NPI# 1235652918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235652918 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN MICIELI |
| Credential | MD |
| Practice Address |
1365b Clifton Rd Ne Atlanta GA 30322-1013 |
| Mailing Address |
407 Summit Pointe Way Ne Atlanta GA 30329-4059 |
| Practice Telephone | 4047785128 |
| Practice Fax Number | 4047785128 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 77690 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1365B CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235114547 | Beau Benjamin Bruce | Psychiatry & Neurology | 1365b Clifton Rd Ne, Suite B-3600, Atlanta, GA 30322-1013 | 2005-12-08 |
| 1669902094 | Drake Robert Devos | Optometrist | 1365b Clifton Rd Ne, Atlanta, GA 30322 | 2017-06-18 |
| 1891227286 | Christian Mustroph | Student in an Organized Health Care Education/Training Program | 1365b Clifton Rd Ne, Room B6169c, Atlanta, GA 30322-3400 | 2017-04-03 |
| 1295189165 | Hosniya Zarabi | General Practice | 1365b Clifton Rd Ne, Room B6169c, Atlanta, GA 30322-1013 | 2016-04-18 |
| 1568825735 | Kc Biebighauser Bens | Student in an Organized Health Care Education/Training Program | 1365b Clifton Rd Ne, Suite 1400, Atlanta, GA 30322-1013 | 2016-04-04 |
| 1508229832 | Jean Park | Ophthalmology | 1365b Clifton Rd Ne, Atlanta, GA 30322-1013 | 2016-04-04 |
| 1649667866 | Andrew Erwood | Student in an Organized Health Care Education/Training Program | 1365b Clifton Rd Ne, Room B6169c, Atlanta, GA 30322-1013 | 2015-04-26 |
| 1346669827 | Jason Michael Frerich | Neurological Surgery | 1365b Clifton Rd Ne, Suite 6200, Atlanta, GA 30322-1013 | 2014-04-10 |
| 1144664673 | Charles Adam Lorentz | Urology | 1365b Clifton Rd Ne, Atlanta, GA 30322 | 2013-04-26 |
| 1205179439 | Jeremy S. Wetzel | Student in an Organized Health Care Education/Training Program | 1365b Clifton Rd Ne, Suite 6200, Atlanta, GA 30322-1059 | 2013-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151462 | Rahul Assa Sharma | Ophthalmology | Emory Eye Center 1365 Clifton Rd B, Atlanta, GA 30322-0001 | 2019-08-28 |
| 1821589441 | Thomas Eye Group PC | Ophthalmology | 1110 W Peachtree St Nw Ste 860, Atlanta, GA 30309-3609 | 2018-05-21 |
| 1609363878 | Patricia Anne Bentley | Ophthalmology | 4712 Polo Ln Se, Atlanta, GA 30339-5328 | 2018-04-13 |
| 1437544061 | Leonid Zlotcavitch | Ophthalmology | 800 Mount Vernon Hwy Ne Ste 125, Atlanta, GA 30328-4294 | 2015-03-31 |
| 1497147680 | Joseph Lewis Licht | Ophthalmology | 1365 Clifton Rd Ne Ste B, Atlanta, GA 30322-4701 | 2015-02-24 |
| 1558781955 | Joshua Jerrett Busscher | Ophthalmology | 1365 Clifton Rd Ne Ste 4400, Atlanta, GA 30322 | 2014-04-24 |
| 1952739153 | Joseph Citron | Ophthalmology | 1351 Paces Forest Dr Nw, Atlanta, GA 30327-2235 | 2013-10-24 |
| 1104168400 | Bruce Harlan Becker | Ophthalmology | 5365 N Powers Ferry Rd Nw, Atlanta, GA 30327-4627 | 2013-03-25 |
| 1902169345 | Southeast Eye Professionals LLC | Ophthalmology | 800 Mt Vernon Hwy Ne, Suite 120, Atlanta, GA 30328 | 2012-06-20 |
| 1003181231 | William Martin | Ophthalmology | 8 Mooregate Sq Nw, Atlanta, GA 30327-1539 | 2012-03-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.