JERRY FORREST MIKESELL M.D.
NPI 1730274432
Dermatology in State College, PA

Active since October 04, 2006
1393 N ATHERTON ST, STATE COLLEGE, PA 16803(814) 238-6097(814) 238-5527 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerry Forrest Mikesell M.d. NPPES

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

JERRY FORREST MIKESELL M.D. (NPI 1730274432) is an individual dermatology provider in State College, Pennsylvania, licensed in Pennsylvania (MD033134E) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1730274432
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJERRY FORREST MIKESELLCredential: M.D.
Location Address1393 N ATHERTON STState College, PA 16803-2932
Mailing Address1393 N Atherton StState College, PA 16803-2932 · (814) 238-6097
Fax(814) 238-5527
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 29, 2007
NPI 1730274432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in PA · MD033134E
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1393 N ATHERTON ST, State College, PA 16803

Other Identifiers 2

Medicare ID-Type Unspecified413750PA
Medicare UPINB37392PA

Other Providers at the Same Location NPPES

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

Dermatology
1393 N ATHERTON ST
STATE COLLEGE, PA 16803

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 Jerry Mikesell's NPI number?

The NPI number for Jerry Mikesell is 1730274432. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Jerry Mikesell located?

Jerry Mikesell practices at 1393 N Atherton St, State College, PA 16803. The listed phone number is (814) 238-6097.

What is Jerry Mikesell's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Jerry Mikesell was last updated on August 29, 2007. 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.