MEDICARE: DR. MARC ALAN 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
1	207W00000X	Ophthalmology Physician	7455	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	180037822	OTHER	AL	MEDICARE TRAVELERS
6	180037822	OTHER	AL	PALMETTO GBA-MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	510-51072MIC	OTHER	AL	BLUE CROSS BLUE SHIELD
4	0810046	OTHER	AL	UNITED HEALTHCARE
5	0488291	OTHER	AL	UMWA
7	C75218	OTHER	AL	VIVA

General Provider Information

NPI Number	:	1720081961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC ALAN MICHELSON M.D.

Provider Business Mailing Address
First Line	:	1201 11TH AVE S
Second Line	:	STE 501
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-3423
Country	:	US
Telephone Number	:	205-930-0930
Fax Number	:	205-930-9050

Provider Business Practice Location Address
First Line	:	1201 11TH AVE S
Second Line	:	STE 501
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-3423
Country	:	US
Telephone Number	:	205-930-0930
Fax Number	:	205-930-9050

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/21/2022

Similar Medicare Providers

1437573961 — DAVID MEADOWS CRNA
Practice Location Address:

1201 11TH AVE S
BIRMINGHAM, AL
35205-3423

Practice Phone: 205-934-4011
Practice Fax:

1346307733 — UNIVERSITY OF ALABAMA AT BIRMINGHAM
Practice Location Address:

1201 11TH AVE S
BIRMINGHAM, AL
35205-3423

Practice Phone: 205-930-7585
Practice Fax: 205-930-7587

1275536385 — ALABAMA EYE & CATARACT CENTER PC
Practice Location Address:

1201 11TH AVE S , STE 501
BIRMINGHAM, AL
35205-3423

Practice Phone: 205-930-0930
Practice Fax: 205-930-9050

1326043944 — GARY D EVANS CRNA
Practice Location Address:

1201 11TH AVE S
BIRMINGHAM, AL
35205-3423

Practice Phone: 205-930-7296
Practice Fax: 205-930-7256

1609860311 — CATHERINE ROMINE MURPHY O.D.
Practice Location Address:

1201 11TH AVE S , SUITE 501
BIRMINGHAM, AL
35205-3423

Practice Phone: 205-930-0930
Practice Fax: 205-930-9050

1760478226 — DR. JULIA H GANNON OD
Practice Location Address:

1201 11TH AVE S , SUITE 501
BIRMINGHAM, AL
35205-3423

Practice Phone: 205-930-0930
Practice Fax: 205-930-9050

Directions to “ DR. MARC ALAN MICHELSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.