Individual provider Active NPI

David J Mitchell, M.D.

  • Ophthalmology Physician
  • Beachwood, OH
National Provider Identifier
1043203045
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35-05-1755-M Issued in OH
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

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0315046MedicaidOH
DS4304OtherRAILROAD 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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.