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Dr. Ian Charles Michelow

Pediatrician Pediatric Infectious Diseases

593 Eddy St
Providence , Rhode Island 02903-4923

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Dr. Ian Charles Michelow

Pediatrician Pediatric Infectious Diseases

593 Eddy St
Providence , Rhode Island 02903-4923

(401) 444-5650

Write a Review Save Call

Dr. Ian Charles Michelow

Pediatrician Pediatric Infectious Diseases

593 Eddy St
Providence , Rhode Island 02903-4923

(401) 444-5650 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatrician
  • Pediatric Infectious Diseases

Languages spoken

  • English

Location

593 Eddy St Providence , Rhode Island 02903-4923

First Address

  • Dr. Ian Charles Michelow
  • 593 Eddy St
  • Providence, RI
  • Zip : 02903-4923
  • Fax : (401) 444-5650
  • Phone : (401) 444-8360

Second Address

  • Dr. Ian Charles Michelow
  • 593 Eddy St
  • Providence, RI
  • Zip : 02903-4923
  • Fax : (401) 444-5650
  • Phone : (401) 444-8360

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FAQs


Where did Dr. Ian Charles Michelow attend graduate school?

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Where did Dr. Ian Charles Michelow do his residency?

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Where did Dr. Ian Charles Michelow do his fellowship?

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Is Dr. Ian Charles Michelow board certified?

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What type of doctor is Dr. Ian Charles Michelow

Pediatric Infectious Diseases

In what state does Dr. Ian Charles Michelow practice in?

Rhode Island

Where is Dr. Ian Charles Michelow ’s practice located?

593 Eddy St , Providence, Rhode Island, 02903-4923

What is Dr. Ian Charles Michelow ’s gender?

Male

Is Dr. Ian Charles Michelow a sole practitioner?

No

Is Dr. Ian Charles Michelow accepting new patients?

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What languages does Dr. Ian Charles Michelow speak?

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Does Dr. Ian Charles Michelow accept insurance?

Yes, Dr. Ian Charles Michelow accepts insurance

Does Dr. Ian Charles Michelow offers telemedicine?

Dr. Ian Charles Michelow has not indicated if he offers telemedicine

What is Dr. Ian Charles Michelow ’s professional license number?

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What is Dr. Ian Charles Michelow ’s NPI number?

1386634756

Does Dr. Ian Charles Michelow have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208000000X Pediatrician 216301 MA
Y 2080P0208X Pediatric Infectious Diseases MD13482 RI

National Provider Identifier

NPI 1386634756
Provider Name Dr. Ian Charles Michelow
First Address Providence, RI 02903-4923
Second Address Providence, RI 02903-4923
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 26/10/2005
Last Update Date 18/01/2011

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
2026091 (05) MA
468557 TUFTS HEALTH PLAN (01) MA
H99939 (02)
J26918 BCBS MA (01) MA
MD13482 LICENSE (01) RI

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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