Healthcare Provider Details

I. General information

NPI: 1912650185
Provider Name (Legal Business Name): MICHAEL JAMES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2022
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 S WATER ST
PITTSBURGH PA
15203-2307
US

IV. Provider business mailing address

607 12TH AVE NE
CALGARY AB
T2E1B2
CA

V. Phone/Fax

Practice location:
  • Phone: 403-860-9335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number143833
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: