Douglas Mitchell, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

D39037 Issued in MD

Practice address

6934 Aviation Blvd
Suite B
Glen Burnie, MD 21061-2593

Phone

(443) 949-0814

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Maryland Inpatient Care Specialists LLC

  • Internal Medicine Physician
  • Annapolis, MD
  • NPI 1255417200
  NPD (past) Authorized official
• Advanced Inpatient Medicine Wayne, PC

  • Hospitalist Physician
  • Honesdale, PA
  • NPI 1215486022
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1083614481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 PARKWAY DR",
            "address_2": "STE 500",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761343",
            "telephone_number": "410-216-6481",
            "fax_number": "410-280-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 AVIATION BLVD",
            "address_2": "SUITE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612593",
            "telephone_number": "443-949-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D39037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirza M. Nusairee, MD.
• Taylor A Mister, NP
• Rebecca Louise Mitch, LCPC, NCC
• Alaina Mitchell, LMSW
• Autumn Nicole Mitchell
• Lanika Mitchell, LCPC, NCC
• Modern NP PLLC
• Modesta Vesonder CRNP LLC
• Faith Chioma Modozie, BEHAVIOR TECHNICIAN
• Mody & Miller, M.D., P.a.

• Hospitalist Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Hospitalist Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.