DR. REBECCA MICHELS MD NPI 1477734267

NPI Information

NPI: 1477734267
Provider Name: DR. REBECCA MICHELS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: FORNANCE PHYSICIAN SERVICES INC

PECOS Registration: Yes

Address:
1415 NORTH BROAD STREET
SUITE 224 BROAD STREET HEALTH CENTER
PHILADELPHIA, PA
ZIP 19122
Phone: (215) 235-7944
Get Directions

DR. Rebecca Michels, MD is a family medicine in Philadelphia, PA with 22 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Rebecca Michels, MD NPI is 1477734267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1415 NORTH BROAD STREET
SUITE 224 BROAD STREET HEALTH CENTER
PHILADELPHIA, PA
ZIP 19122-323
Phone: (215) 235-7944
Fax: (215) 235-3361

The NPI 1477734267 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2007 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MT189477	PENNSYLVANIA	No
2	207Q00000X	Family Medicine		MD436487	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0209970	MEDICAID	NEW JERSEY
2	102380378	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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