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NPI Code Detail

MEDICARE: DR. MELINDA BAREFOOT MICHELSON M.D.

MEDICARE: DR. MELINDA BAREFOOT MICHELSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician28591NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609860550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELINDA BAREFOOT MICHELSON M.D.
Provider Business Mailing Address
First Line : 801 MCCARTHY BLVD
Second Line :
City : NEW BERN
State : NC
Zip : 28562-5237
Country : US
Telephone Number : 252-633-3942
Fax Number : 252-633-4788
Provider Business Practice Location Address
First Line : 801 MCCARTHY BLVD
Second Line :
City : NEW BERN
State : NC
Zip : 28562-5237
Country : US
Telephone Number : 252-633-3942
Fax Number : 252-633-3332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 01/19/2016

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