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J Mickelwait, MD
NPI 1811944309 · Dermatology Physician · Mount Vernon, WA
J Mickelwait, MD is a Dermatology Physician provider in Mount Vernon, WA (NPI 1811944309).
Provider details
- NPI number
- 1811944309
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00013676 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1420 Roosevelt Ave
Suite 7
Mount Vernon, WA 98273-2687
Phone: (360) 424-4186
Fax: (360) 428-0927
Street-level locationGet directions
Mailing address
1420 Roosevelt Ave
Mount Vernon, WA 98273-2687
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2007-07-08
Frequently asked questions
- What is J Mickelwait's NPI number?
- J Mickelwait's National Provider Identifier (NPI) is 1811944309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is J Mickelwait's specialty?
- J Mickelwait is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is J Mickelwait located?
- J Mickelwait's practice location on file with NPPES is 1420 Roosevelt Ave, Mount Vernon, WA 98273-2687.
- What is J Mickelwait's phone number?
- The practice phone number listed in the NPPES registry for J Mickelwait is (360) 424-4186.
- Is J Mickelwait's NPI active?
- Yes — J Mickelwait's NPI (1811944309) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.