Mark Miceli is a Gastonia, North Carolina based male podiatrist with 45 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 1979. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mark Miceli for Primary Podiatric Medicine is 302 in North Carolina. Mark Miceli is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mark Miceli speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
45+ years
Medical School Attended:
Kent State University College Of Podiatric Medicine
Graduation Year:
1979
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
603 Cox Rd, Gastonia, North Carolina, 28054-3432
Phone:
704-867-7388
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5991705733
Enrollment ID:
I20100416000721
NPI Number:
1881678118
NPI Enumeration Date:
30 Nov, 2005
NPI Last Update On:
09 Aug, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Miceli are as mentioned below.
License Number
Specialization
State
Status
302
Primary Podiatric Medicine
North Carolina
Primary
302
Podiatry
North Carolina
Secondary
302
Podiatric Foot & Ankle Surgery
North Carolina
Secondary
302
Podiatric Foot Surgery
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark Miceli such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
341408479
Other
UHC
890183P
Medicaid
North Carolina
0004118131
Other
AETNA
0807M
Other
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1022 Lee Ann Dr Ne, Concord, North Carolina
Zip:
28025-2911
Phone Number:
704-547-0000
Fax Number:
704-547-0460
Patients can reach Mark Miceli at 603 Cox Rd, Gastonia, North Carolina or can call to book an appointment on 704-867-7388. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
Comments/ Reviews:
Similar Podiatrist in Gastonia, NC
Mr. John Kersey Throckmorton, DPM Speciality: Podiatrist - Primary Podiatric Medicine Address: 111 E 3rd Ave, NC Phone: 704-874-3300 Fax: 704-874-0065