JAMES D. MICKLE JR. MD NPI 1003013244
Clinic/Center in Boyertown, PA

About JAMES D. MICKLE JR. MD

James D. Mickle Jr. Md is a provider established in Boyertown, Pennsylvania operating as a Clinic/center. The NPI number of this provider is 1003013244 and was assigned on June 2007. The practitioner's primary taxonomy code is 261Q00000X with license number MD016977E (PA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's other name is Cholesterol Studies And Treatment. The authorized official of this NPI record is Dr. James D Mickle Jr. Md (Owner)

NPI
1003013244
Provider NameJAMES D. MICKLE JR. MD
Location Address137 MONTGOMERY AVE SUITE 203 BOYERTOWN, PA 19512
Location Phone(610) 369-2050
Mailing Address137 MONTGOMERY AVE SUITE 203 BOYERTOWN, PA 19512
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCHOLESTEROL STUDIES AND TREATMENT
Other Name TypeOther Name (5)
Enumeration Date06-29-2007
Last Update Date07-29-2010


Primary Taxonomy

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

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
License No.MD016977E
License StatePA
Taxonomy DescriptionA facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

137 MONTGOMERY AVE
SUITE 203
BOYERTOWN, PA
ZIP 19512
Phone: (610) 369-2050
Fax: (610) 369-2710

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Mailing Address

137 MONTGOMERY AVE
SUITE 203
BOYERTOWN, PA
ZIP 19512
Phone: (610) 369-2050
Fax: (610) 369-2710


Location Map

Authorized Official

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

Authorized Official NameDR. JAMES D MICKLE JR. MD
Authorized Official TitleOWNER
Authorized Official Phone(610) 369-2050

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
502171MEDICARE ID-TYPE UNSPECIFIED (04)PA
B38961MEDICARE UPIN (02)PA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003013244
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301628
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 6 + 2 + 8 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1003013244 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932281474DR. JOHN FREDERICK HYATT D.D.S.
Individual
Dentist (General Practice)137 MONTGOMERY AVE SUITE 200
BOYERTOWN, PA 19512
(610) 367-7772
1205186137DR. MELANIE ROSE CARR D.C.
Individual
Chiropractor137 MONTGOMERY AVE SUITE 203
BOYERTOWN, PA 19512
(610) 709-7586
1396063806LIFEGROWTH PSYCHOLOGICAL SERVICES
Organization
Psychologist137 MONTGOMERY AVE SUITE 105
BOYERTOWN, PA 19512
(610) 473-0277
1982165742MRS. CAROLENA ELIZABETH BOMERSBACH MA, LPC
Individual
Counselor (Mental Health)137 MONTGOMERY AVE
BOYERTOWN, PA 19512
(800) 689-0250
1528130531JOHN F. HYATT, D.D.S., P.C.
Organization
Dentist (General Practice)137 MONTGOMERY AVE SUITE 200
BOYERTOWN, PA 19512
(610) 367-7772
1659503068 MARIA A KEELER M.A.
Individual
Counselor (Mental Health)137 MONTGOMERY AVE SUITE 203
BOYERTOWN, PA 19512
(610) 523-9007

Frequently Asked Questions

What is JAMES D. MICKLE JR. MD NPI number?

The NPI number assigned to this healthcare provider is 1003013244, registered as an "organization" on June 29, 2007

Where is JAMES D. MICKLE JR. MD located?

The provider is located at 137 Montgomery Ave Suite 203 Boyertown, Pa 19512 and the phone number is (610) 369-2050

What kind of medical provider is JAMES D. MICKLE JR. MD?

This medical organization specializes in Clinic/Center

What insurance does JAMES D. MICKLE JR. MD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

How do I update my NPI information?

The NPI record of JAMES D. MICKLE JR. MD was last updated on June 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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