NPIMap

Individual provider Active NPI

Jamie C Mitchell, M.D.

  • Surgery Physician
  • Tampa, FL
National Provider Identifier
1033166277
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME121156 Issued in FL
Practice address
5959 Webb Rd
Tampa, FL 33615-3219
Phone
(813) 972-0000
Fax
(888) 481-1487
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 219190 MA
Surgery Physician 208600000X 90162 OH
Surgery Physician 208600000X ME121156 FL Primary

Addresses

Primary practice location

5959 Webb Rd
Tampa, FL 33615-3219

Mailing address

5959 Webb Rd
Tampa, FL 33615-3219
Phone (813) 972-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141103002363 FL Practitioner - General Surgery 1557453461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Georgetown University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Clayman Endocrine Institute, LLCGroup PAC ID 4486074655, 11 clinicians

Practice addresses (Care Compare)

5959 Webb Rd
Tampa, FL 33615-3219
Phone (813) 940-3130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME121156FLMDSurgery Physician
219190MAMDSurgery Physician
90162OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Norman Clayman Endocrine Institute, LLC Surgery CurrentSince Sep 9, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5959 Webb Rd
Tampa, FL 33615
Phone (813) 940-3130

2400 Cypress Glen Dr
Wesley Chapel, FL 33544
Phone (813) 940-3130

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFEBD/Endpoint/IIFEBD
  • Direct secure messaging: jmitchell88840@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1033166277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153219",
            "telephone_number": "813-972-0000",
            "fax_number": "888-481-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153219",
            "telephone_number": "813-972-0000",
            "fax_number": "888-481-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JAMIE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "219190",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "90162",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME121156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.