William J Mitchell, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

71-81 Issued in NM

Practice address

1304 Los Arboles Ave NW
Albuquerque, NM 87107-1014

Phone

(505) 344-4991

NPI assigned

Feb 1, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Optumcare New Mexico LLC

  dba DaVita Medical Group

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1124053210
  NPD (past)

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1083986384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 LOS ARBOLES AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071014",
            "telephone_number": "505-344-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 LOS ARBOLES AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071014",
            "telephone_number": "505-344-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "71-81",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19422",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond B Mitchell, LPCC
• Robyn Mitchell, AGACNP-BC
• Ruston Mitchell, LCSW
• Sarah G Mitchell, LISW
• Stephanie Mitchell
• William McRae Mithoefer, PA-C
• Michael Sumner Mitnik, MD
• Sydney Mitsui
• Pradeep Mitta, MD
• Aditi Mittal, MD

• Internal Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.