DR. PETER H MICHELSON MD - NPI 1053385880 - Pediatrics in Saint Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0201X and a focus in Pediatric Allergy/Immunology.

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About Dr. Peter H Michelson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER H MICHELSON MD (NPI 1053385880) is an individual pediatric allergy/immunology provider in Saint Louis, Missouri, licensed in Missouri (2010028283) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1053385880

Entity TypeIndividualMale

Primary Taxonomy2080P0201X

Provider Legal NameDR. PETER H MICHELSONCredential: MD

Location Address1 CHILDRENS PL STE C, STE CSaint Louis, MO 63110-1002

Mailing Address1 Childrens Pl, Nwt 8328 Cb 8116Saint Louis, MO 63110-1002 · (314) 454-2694 · Fax (314) 454-2515

Phone(314) 454-2694

Fax(314) 454-2515

Sole ProprietorNo

Enumeration DateFebruary 16, 2006

Last NPPES UpdateJanuary 24, 20183 updates tracked since enumeration

✔ NPI 1053385880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0201X

License✔ Licensed in MO · 2010028283

Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

Also ListedPediatricsTaxonomy 208000000X · License 2010028283 (MO)

1 CHILDRENS PL STE C, Saint Louis, MO 63110

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Other Identifiers 2

Medicaid1053385880MO

Medicaid36092147IL

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICK Y JAY MD

Pediatrics (Pediatric Cardiology)