Mark Anthony Mitchell, D.O., FACOEP-D FACEP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS14965 Issued in FL

Practice address

401 Fairway Dr Ste 200
Deerfield Beach, FL 33441-1800

Phone

(561) 208-1970

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 15

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL, NE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency Medicine

Education

West Virginia School of Osteopathic Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Emergency Grand Island IncGroup PAC ID 1153677828, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health St. Francis Hospital, Grand Island, NE, CCN 280023

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Emergency Grand Island Inc

  • Emergency Medicine Physician
  • Grand Island, NE
  • NPI 1508357930
  Medicare reassignment Care Compare group NPD
• Central Prairie Physicians PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1821884750

  IL

  Medicare reassignment NPD
• Georgetown Emergency Group PC Inc.

  • Emergency Medicine Physician
  • Georgetown, OH
  • NPI 1720330541
  NPD (past) Authorized official
• Boniface Orthopaedics, Inc.

  • Specialist
  • Boardman, OH
  • NPI 1669406740
  NPD (past)
• Central Illinois Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Springfield, IL
  • NPI 1740205699
  NPD (past)
• Fort Bend Emergency Associates PA

  • Emergency Medicine Physician
  • Katy, TX
  • NPI 1487856886
  NPD (past)
• Heart Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Wauwatosa, WI
  • NPI 1548285463
  NPD (past)
• Richmond Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Richmond, TX
  • NPI 1710290051
  NPD (past)
• Wapello Emergency Group PC

  • Emergency Medicine Physician
  • Ottumwa, IA
  • NPI 1124338926
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Francis Medical Center

  • General Acute Care Hospital
  • Grand Island, NE
  • NPI 1982675955
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1003833633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 W DIVISION ST UNIT 703",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223927",
            "telephone_number": "312-369-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 FAIRWAY DR STE 200",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411800",
            "telephone_number": "561-208-1970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8211 E Regal Pl Ste 100-103",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741337167",
            "country_code": "US",
            "telephone_number": "561-678-2026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6800 Broken Sound Pkwy NW Ste 150",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334875709",
            "country_code": "US",
            "telephone_number": "561-678-2026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O., FACOEP-D FACEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N5251",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.010137",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036084550",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "44861-21",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "13723",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.010137",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "DO.000259",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "7157",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "13723",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "DO-04144",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N5251",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "44861-21",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036084550",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OD14965",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS14965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02281810",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084550",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43502100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth J Mishkin, M.D.
• Mitchell Bernknopf DPM PA
• Jasmine Mitchell
• Karisma Danielle Mitchell
• Lauren Mitchell
• Shaunakaye Mitchell
• MJ & E Corporation
• Shirene Lori Mohajer-Shojaee
• Omar Mohamed
• Ginette Moise, LMHC

• Emergency Medicine Physician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.