Mission Creek Transitional Care PLLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MISSION CREEK TRANSITIONAL CARE PLLC

Practice address

520 Marshall St
Duluth, MN 55803-1981

Phone

(218) 340-8674

NPI assigned

Jul 26, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Dean M Fox, MDNPI 1477585032

Title

Owner

Phone

(218) 340-8674

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Dean Michael Fox, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Duluth, MN
  • NPI 1477585032
  NPD Authorized official

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1083268189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 CARROLLTON PIKE STE C",
            "city": "WOODLAWN",
            "state": "VA",
            "postal_code": "243813034",
            "telephone_number": "276-238-0911",
            "fax_number": "276-238-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MARSHALL ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558031981",
            "telephone_number": "218-340-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CREEK TRANSITIONAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-340-8674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.martin@missioncreektc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5261 Carrollton Pike Ste C",
            "city": "Woodlawn",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243813034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Minnesota Oncology Hematology, PA
• Minnesota Teen Challenge, Inc.
• Max Miranda, M.D.
• Barbara Misiewicz, RD, LD
• Tammy Kaye Miskovich, RDH, CDHC, ED
• Christine Kay Mitchell, MSW, LICSW
• Kai Joel Mitchell, OTR/L
• Kristin Marie Mitchell
• Madeline Mary Mitchell
• Victoria Anne Mitchell

• Geriatric Medicine (Internal Medicine) Physician in Duluth, MN
• Providers in Duluth, MN by specialty
• Geriatric Medicine (Internal Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.