Active NPI
Douglas C Mitchell MD Professional
- Anesthesiology Physician
- Longmont, CO
National Provider Identifier
1083826960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- DOUGLAS C MITCHELL MD PROFESSIONAL
- Practice address
- 1551 Professional LN
Suite 100
Longmont, CO 80501-6972 - Phone
- (720) 494-3200
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas C Mitchell, M.D.
- Title
- Owner
- Phone
- (303) 422-9438
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
1551 Professional LN
Suite 100
Longmont, CO 80501-6972
Mailing address
PO Box 668
Arvada, CO 80001-0668
Phone (303) 422-9438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54781809 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Longmont, CO
- NPI 1962436055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379376000000",
"number": "1083826960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 668",
"city": "ARVADA",
"state": "CO",
"postal_code": "800010668",
"telephone_number": "303-422-9438",
"fax_number": "303-422-9474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 PROFESSIONAL LN",
"address_2": "SUITE 100",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805016972",
"telephone_number": "720-494-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS C MITCHELL MD PROFESSIONAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2013-09-17",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-422-9438",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54781809",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.