MARK MICELI
NPI 1275693509
Podiatrist - Foot & Ankle Surgery in Charlotte, NC

Active since December 08, 2006
8301 UNIVERSITY EXEC PARK DR STE 112, CHARLOTTE, NC 28262(704) 547-0000(704) 547-0460 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mark Miceli NPPES

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

MARK MICELI (NPI 1275693509) is a healthcare organization registered as a foot & ankle surgery in Charlotte, North Carolina and active in the NPI registry since December 2006. The organization lists Mark Miceli, Owner, as its authorized official.

NPPES Registry Identity

NPI1275693509
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameMARK MICELI
Location Address8301 UNIVERSITY EXEC PARK DR STE 112Charlotte, NC 28262-3593
Mailing Address8301 University Exec Park Dr, Suite 112Charlotte, NC 28262-1366 · (704) 547-0000 · Fax (704) 547-0460
Fax(704) 547-0460
Organization SubpartNo
Authorized OfficialMark MiceliOwner · (704) 547-0000
Enumeration DateDecember 8, 2006
Last NPPES UpdateFebruary 14, 2008
✔ NPI 1275693509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NC · 302
8301 UNIVERSITY EXEC PARK DR STE 112, Charlotte, NC 28262

Other Identifiers 2

Medicare NSC0197790003NC
Medicare PIN2432861ANC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Miceli's NPI number?

The NPI number for Mark Miceli is 1275693509. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Mark Miceli located?

Mark Miceli is located at 8301 University Exec Park Dr Ste 112, Charlotte, NC 28262. The listed phone number is (704) 547-0000.

What is Mark Miceli's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Mark Miceli was last updated on February 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.