Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Judith K Mickelson, MD

Individual provider Specialist · NPI 1700876190

Dr. Judith K Mickelson, MD is a Specialist in Cottleville, Missouri. Works from 2 locations. Licensed in Maine, Missouri and Ohio.

Licensed in
ME, MO, OH
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

117 Trail Creek Ct
Cottleville, MO 63304-7594
Phone: (513) 543-0595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 915 N Grand Blvd, Saint Louis, MO 63106-1621 — (314) 652-4100

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 2017039388 (MO)
Specialist Taxonomy 174400000X · Licence 35-078636 (OH)
Specialist Taxonomy 174400000X · Licence MD24100 (ME)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 35-078636 (OH)

Record details

NPI number1700876190
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025