Dr. Clinzo P. Mickle II, MD
Dr. Clinzo P. Mickle II, MD practises Dermatology in Washington, District of Columbia. Graduated from Medical University of South Carolina College of Medicine in 2002, 24 years ago. Practices with Integrated Dermatology of 19th Street LLC, a 5-clinician group and accepts Medicare assignment. Licensed in District of Columbia.
- Years since qualifying
- 24
- Trained at
- Medical University of South Carolina College of Medicine
- Licensed in
- DC
- In the registry since
- 2008
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
650 Pennsylvania Ave SE Ste 420Washington, DC 20003-4318 Not confirmed with CMS for 15 years — call before visiting
Phone: (202) 547-9001
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence MD036757 (DC) |
|---|
Record details
| NPI number | 1104096361 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 4, 2008 |
| Last updated in NPPES | April 6, 2011 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduated | 2002 (24 years in practice) |
| Group practice | Integrated Dermatology Of 19th Street Llc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Procedures
| Removal of skin lesions | 382 times |
|---|---|
| Skin biopsy | 107 times |
| Melanoma (skin cancer) excision | 14 times |
Medicare patients and services, 2024
| Medicare patients | 252 |
|---|---|
| Services billed | 1,529 |
| Average patient age | 75 |
Payments from drug and device companies, 2025
| Food and Beverage | $2,534 |
|---|---|
| Education | $10 |
Colleagues at Integrated Dermatology of 19th Street LLC
- Dr. Hyland Elizabeth Cronin, MD MOHS-Micrographic Surgery Physician · Washington, DC
- Caroline Smith Ghee, PA-C Physician Assistant · Washington, DC
- Tinatin Gotsiridze, MD Dermatology Physician · Washington, DC
- Sarika Snell, MD Procedural Dermatology Physician · Washington, DC
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