Mitchell S. Gittelman, D.O., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H54827 Issued in MD

Legal business name

MITCHELL S. GITTELMAN, D.O., P.A.

Practice address

31413 Winterplace Pkwy
103
Salisbury, MD 21804-1877

Phone

(410) 860-0100

Fax

(410) 860-4894

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Mitchell Sender Gittelman, DONPI 1851398689

Title

Physician

Phone

(410) 860-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Sender Gittelman, D.O.

  • Family Medicine Physician
  • Salisbury, MD
  • NPI 1851398689
  Medicare reassignment NPD Authorized official
• Maria Theresia Garde, PA-C

  • Physician Assistant
  • Salisbury, MD
  • NPI 1700886165
  Medicare reassignment
• Melissa Noah, PA-C

  • Physician Assistant
  • Millsboro, DE
  • NPI 1871950790

  MD

  Medicare reassignment

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1073792131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31413 WINTERPLACE PKWY",
            "address_2": "103",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041877",
            "telephone_number": "410-860-0100",
            "fax_number": "410-860-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31413 WINTERPLACE PKWY",
            "address_2": "103",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041877",
            "telephone_number": "410-860-0100",
            "fax_number": "410-860-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL S. GITTELMAN, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "GITTELMAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "SENDER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-860-0100",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H54827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368280300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Dione Miltz, LGPC, NCC
• Janeen Renee Mingolello, CRNM
• Robert Joseph Minniti IV, MD
• Kathleen Anne Mirsky, MS, PT
• Miss Bright Home Care Services LLC
• Corliss Mitchell, PA-C
• Jannia Marie Mitchell, LMSW
• Marjorie Mitchell
• Wanda Kay Mitchener-Colston, PH.D.
• Miya Homes LLC

• Family Medicine Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.