Provider Type Icon

DR. DAYNE TIMOTHY MICKELSON M.D. NPI 1982903142


NPI Information

NPI: 1982903142
Provider Name: DR. DAYNE TIMOTHY MICKELSON, M.D.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual
Organization: PROLIANCE SURGEONS INC PS

PECOS Registration: Yes

Address:
1231 116TH AVE NE STE 750
BELLEVUE, WA
ZIP 98004
Phone: (425) 455-3600
Get Directions

DR. Dayne Timothy Mickelson, M.D. is an orthopaedic surgery in Bellevue, WA with 13 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Dayne Timothy Mickelson, M.D. NPI is 1982903142. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

1231 116TH AVE NE STE 750
BELLEVUE, WA
ZIP 98004-812
Phone: (425) 455-3600
Fax: (425) 455-3920

The NPI 1982903142 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 3/26/2011 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports MedicineMD60476167WASHINGTONNo
2207X00000XOrthopaedic SurgeryMD60476167WASHINGTONYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.