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Deactivated NPI 1699746230 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Merrill Michaud , DO

Dermatology • Mesa, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Michaud has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2006
NPI Deactivation Date February 27, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Michaud, DO was a registered Dermatology practicing in Mesa, AZ. Throughout an active medical career spanning 12 years, Dr. Michaud provided care at the practice location at 5424 E SOUTHERN AVE until profile deactivation on 2018-02-27.

Practice Location & Contact Primary Location

Practice Address

5424 E Southern Ave
Suite 103

Mesa, AZ 852063621

Telephone 4803962300
Fax 4803962315
Associated Practice Facility / Clinic
🏢 Pete S Coury Md Pllc Facility NPI 1588797765

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.3 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
20 Specialists

Practicing in Mesa, AZ (369 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AZ 2045

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Joseph Shoker

Physician Assistant

NPI 1447765532
Vian Al-Rubaie , PA-C

Physician Assistant

NPI 1568961258

Physician Assistant (Certified)

NPI 1992816664

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 27, 2018

Record deactivated on February 27, 2018

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 5424 E SOUTHERN AVE, SUITE 103, MESA, AZ 852063621 (Tel: 4803962300)

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Updated Business Mailing Address July 09, 2007

Registered at 5424 E SOUTHERN AVE, SUITE 103, MESA, AZ 852063621 (Tel: 4803962300)

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Provider Name / Credentials Updated July 09, 2007

Recorded as ROBERT MICHAUD, D.O.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dermatology (License #2045 in AZ)

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Initial NPI Registration & Enumeration January 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699746230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2006
Last Update: July 09, 2007
Deactivation Date: February 27, 2018

Mailing Address

5424 E Southern Ave, Suite 103

Mesa, AZ 852063621

Phone: 4803962300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.