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

Mark Miceli, DPM

Individual provider Podiatrist · NPI 1881678118

Mark Miceli, DPM is a Podiatry in Gastonia, North Carolina. Graduated from Kent State University College of Podiatric Medicine in 1979, 47 years ago. Practices with Instride Foot and Ankle Specialists, PLLC, a 46-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
47
Trained at
Kent State University College of Podiatric Medicine
Licensed in
NC
In the registry since
2005
Specialties on file
4
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

603 Cox Rd
Gastonia, NC 28054-3432
Phone: (704) 867-7388
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence 302 (NC)
Podiatrist Taxonomy 213E00000X · Licence 302 (NC)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 302 (NC)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence 302 (NC)

Record details

NPI number1881678118
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1979 (47 years in practice)
Group practice Instride Foot And Ankle Specialists, Pllc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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