MEDICARE: PAUL A. MICHAS 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	207X00000X	Orthopaedic Surgery Physician	041172	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200035716	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	372315400	OTHER		WORKERS' COMPENSATION
4	769438	OTHER	GA	BCBSGA

General Provider Information

NPI Number	:	1750355574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL A. MICHAS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 407
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31702-0407
Country	:	US
Telephone Number	:	229-883-4707
Fax Number	:	229-435-1038

Provider Business Practice Location Address
First Line	:	619 POINTE NORTH BLVD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31721-1514
Country	:	US
Telephone Number	:	229-883-4707
Fax Number	:	229-435-1038

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

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	04/12/2021

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Directions to “ PAUL A. MICHAS M.D.” Practice Location

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