DR. ALYSSA MICELI (NPI# 1497136758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497136758 |
| Entity Type | Individual |
| Full Name | DR. ALYSSA MICELI |
| Credential | D.O. |
| Practice Address |
906 Park Ave Orange Park FL 32073-4120 |
| Mailing Address |
43900 Garfield Rd Ste 100 Clinton Twp MI 48038-1137 |
| Practice Telephone | 9045410315 |
| Mailing Telephone | 5862860112 |
| Mailing Fax Number | 5862861241 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
906 PARK AVE |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578537759 | George Joseph Schmieder | Dermatology | 906 Park Ave, Orange Park, FL 32073-4120 | 2006-02-15 |
| 1609225176 | Shawn Jude Schmieder | Dermatology | 906 Park Ave, Orange Park, FL 32073-4120 | 2016-06-06 |
| 1336536804 | Tanya Sara Anne Temple | Registered Nurse | 906 Park Ave, Orange Park, FL 32073-4120 | 2015-04-22 |
| 1083955462 | Julie M Harrington | Physician Assistant | 906 Park Ave, Orange Park, FL 32073 | 2013-03-08 |
| 1801140074 | Jenifer D Lee | Physician Assistant | 906 Park Ave, Orange Park, FL 32073-4120 | 2012-11-09 |
| 1700134640 | Brian Chad Klein | Physician Assistant | 906 Park Ave, Orange Park, FL 32073-4120 | 2012-08-27 |
| 1750619474 | Sarah Jean Ferrer-bruker | Dermatology | 906 Park Ave, Orange Park, FL 32073-4120 | 2009-11-19 |
| 1366656688 | Adilen L Dillingham | Physician Assistant | 906 Park Ave, Orange Park, FL 32073-4120 | 2007-05-09 |
| 1205944022 | Natalie Ann Bernhart | Physician Assistant | 906 Park Ave, Orange Park, FL 32073-4120 | 2006-08-29 |
| 1205871001 | Park Avenue Dermatology Pa | Dermatology | 906 Park Ave, Orange Park, FL 32073-4120 | 2006-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1730717075 | Joshua Adam Cooper | Student in an Organized Health Care Education/Training Program | 557 Fallen Timbers Dr, Orange Park, FL 32073-2298 | 2020-03-31 |
| 1679117618 | The Least of These Adoption Services of Florida, LLC | Student in an Organized Health Care Education/Training Program | 495 Glendale Ln, Orange Park, FL 32065-5607 | 2019-11-02 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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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.