Active NPI
David J Mitchell, M.D.
- Ophthalmology Physician
- Beachwood, OH
National Provider Identifier
1043203045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35-05-1755-M
- Practice address
- 24755 Chagrin Blvd
Suite 345
Beachwood, OH 44122-5692 - Phone
- (216) 297-3230
- Fax
- (216) 342-5290
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35-05-1755-M | OH | Primary |
Addresses
Primary practice location
24755 Chagrin Blvd
Suite 345
Beachwood, OH 44122-5692
Mailing address
24755 Chagrin Blvd
Ste 345
Beachwood, OH 44122-5692
Phone (216) 297-3230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0315046 | Medicaid | OH | |
| DS4304 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Eye Care & Surgery, Inc. | Ophthalmology | Past | Accepting new patients |
| Cleveland Eye Care & Surgery, Inc. | Ophthalmology | Past | Accepting new patients |
| University Hospitals Medical Group Inc | Ophthalmology | Past | Accepting new patients |
| Cleveland Eye Care & Surgery, Inc. | Ophthalmology | Past | Accepting new patients |
| Cleveland Eye Care & Surgery, Inc | Ophthalmology | Past | Accepting new patients |
| Cleveland Eye Specialists and Consultants, Inc. | Ophthalmology | Past | Accepting new patients |
| Cleveland Eye Care & Surgery, Inc. | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 7
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.
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- Ophthalmology Physician
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-
- Ophthalmology Physician
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- NPI 1013285014
-
- Ophthalmology Physician
- Garfield HTS, OH
- NPI 1417247826
-
- Ophthalmology Physician
- Willoughby, OH
- NPI 1558651968
-
- Ophthalmology Physician
- Parma, OH
- NPI 1902196322
-
- Ophthalmology Physician
- Mayfield HTS, OH
- NPI 1568509487
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1043203045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24755 CHAGRIN BLVD",
"address_2": "STE 345",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225692",
"telephone_number": "216-297-3230",
"fax_number": "216-342-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24755 CHAGRIN BLVD",
"address_2": "SUITE 345",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225692",
"telephone_number": "216-297-3230",
"fax_number": "216-342-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "DAVID",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35-05-1755-M",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0315046",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DS4304",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.