Evan Miller Michaelson, MD
Orthopaedic Surgery Physician · St Augustine, FL
Practice location
45 Groover LoopSt Augustine, FL 32086-6548
- Phone
- (903) 634-0640
- Fax
- (904) 634-0203
NPI record
- NPI
- 1104323286
- Entity type
- Individual (Type 1)
- Enumeration date
- April 6, 2018
- Last updated
- August 27, 2026
- Certified
- August 27, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Physician Primary | 207X00000X |
ME181577 | FL |
| Orthopaedic Surgery Physician | 207X00000X |
D0101580 | MD |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X |
D0101580 | MD |
Mailing address
18444 N 25TH Ave Ste 310Phoenix, AZ 85023-1266
- Phone
- (623) 241-8716
- Fax
- (480) 499-8459
Other practice locations (1)
- 2629 Riva Rd Ste 114, Annapolis, MD 21401-7428 · (410) 573-2530
About Dr. Michaelson
Evan Miller Michaelson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Orthopaedic Surgery Physician (code 207X00000X). The practice location is 45 Groover Loop, St Augustine, FL 32086-6548. The NPI number 1104323286 was assigned on April 6, 2018 and the record was last updated on August 27, 2026.
Dr. Michaelson lists 3 licenses in the registry: #ME181577 (FL) for Orthopaedic Surgery Physician; #D0101580 (MD) for Orthopaedic Surgery Physician; #D0101580 (MD) for Sports Medicine (Orthopaedic Surgery) Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Evan Miller Michaelson, MD?
The NPI number is 1104323286.
What is the phone number of Dr. Michaelson?
The phone number listed for the practice location is (903) 634-0640.
Where is Dr. Michaelson located?
45 Groover Loop, St Augustine, FL 32086-6548.
What is the taxonomy code for Dr. Michaelson?
The primary taxonomy code is 207X00000X – Orthopaedic Surgery Physician; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Joseph Mark Graham, DO120 Health Park Blvd
- Alexander Jeffrey Lampley, MD1690 Us Highway 1 S Ste F-1
- George C. Hochreiter, DO150 Southpark Blvd
- Stefan L. Stanescu, MD, PA105 Southpark Blvd Ste C300
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- Samy Farid Bishai, M.D2514 Us 1 South
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