Dr. Ian Charles Michelow
MD | Pediatric Infectious Diseases | Male
Dr. Ian Charles Michelow, MD is a Providence, Rhode Island based Pediatric doctor with medical specialization in
Pediatric Infectious Diseases.
Current practice location of Dr. Ian Charles Michelow is
593 Eddy St, Providence, Rhode Island - 02903-4923. He can be contacted on phone at
401-444-8360 and fax number 401-444-5650.
Dr. Ian Charles Michelow is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Ian Charles Michelow is
1386634756 which was assigned by NPPES on 26 Oct, 2005 and it was last updated on 15 Sep, 2022.
Dr. Ian Charles Michelow license number is
MD13482 for Pediatrics, Pediatric Infectious Diseases (2080P0208X) in Rhode Island.
Dr. Ian Charles Michelow is trained to take care of children in the diagnosis, treatment and prevention of infectious diseases. Infectious Diseases pediatrician can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Complete Profile:
Dr. Ian Charles Michelow basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Infectious Diseases |
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| Provider Name : | Dr. Ian Charles Michelow |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Ian Charles Michelow address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 593 Eddy St
Providence, RI, 02903-4923
United States |
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| Phone Number : | 401-444-8360 |
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| Fax Number : | 401-444-5650 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1386634756 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Oct, 2005 |
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| Last Updated On : | 15 Sep, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ian Charles Michelow are as mentioned. Primary taxonomy code for Dr. Ian Charles Michelow, MD is
2080P0208X (Pediatrics, Pediatric Infectious Diseases).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 216301 | MA |
| 2080P0208X | Pediatrics, Pediatric Infectious Diseases | Yes | MD13482 | RI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Ian Charles Michelow such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2026091 | MEDICAID | MA | |
| 468557 | Other (non-Medicare) | MA | Tufts Health Plan |
| A36300 | MEDICARE ID-Type Unspecified | MA | |
| H99939 | MEDICARE UPIN | | |
| J26918 | Other (non-Medicare) | MA | BCBS MA |
| MD13482 | Other (non-Medicare) | RI | LICENSE |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
85 SEYMOUR ST,
HARTFORD, CT, 06106-5501
United States | HARTFORD, CT | 860-545-8490 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | imichelow66379@connecticutchildrens.direct-ci.com
| No affiliation |
|
| 85 Seymour St,
Hartford, CT, 06106-5501
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 593 Eddy St
Providence, RI, 02903-4923
United States |
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| Phone Number : | 401-444-8360 |
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| Fax Number : | 401-444-5650 |
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Business Location:
Patients can refer following map for directions to
Dr. Ian Charles Michelow practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.