Provider Demographics
NPI:1669453981
Name:NORTH, MICHELLE M (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:M
Last Name:NORTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:UKLEJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1795
Mailing Address - Country:US
Mailing Address - Phone:781-792-4191
Mailing Address - Fax:781-878-6750
Practice Address - Street 1:51 PERFORMANCE DR
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-3104
Practice Address - Country:US
Practice Address - Phone:781-682-8000
Practice Address - Fax:781-335-1412
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216984207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042297845OtherTRICARE
MA042297845OtherGREAT WEST HEALTH CARE
MA216984OtherTUFTS MEDICARE PREFERRED
MAJ26212OtherBCBS
MA80769OtherFALLON
MA042297845OtherHCVM
MA042297845OtherUNITED HEALTH CARE
MA2010992Medicaid
MA6521164OtherCIGNA
MA7852455OtherAETNA
MAAA11867OtherHVD PILGRIM HEALTH CARE
MA0032152OtherNEIGHBORHOOD HLTH PLAN
MA216984OtherTUFTS
MA042297845OtherGIC UNICARE
MA042297845OtherPRIVATE HEALTHCARE SYSTEM
MA2010992Medicaid
MA042297845OtherTRICARE