Individual provider Active NPI

Nathan Mitchell, SAC

  • Surgical Assistant
  • Aurora, CO
National Provider Identifier
1093107724
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
15-183 Issued in CO
Practice address
25480 E Hinsdale PL
Aurora, CO 80016
Phone
(303) 720-8050
NPI assigned
Mar 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA0002003 CO
Surgical Assistant 246ZC0007X 15-183 CO Primary

Addresses

Primary practice location

25480 E Hinsdale PL
Aurora, CO 80016

Mailing address

25480 E Hinsdale PL
Aurora, CO 80016-2198
Phone (303) 720-8050

Other identifiers 1

IdentifierTypeStateIssuer
SA0002003OtherCOSAC

Other names 1

  • Mr. Nathan Mitchell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15-183COMDSurgical Assistant
SA0002003COMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1093107724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25480 E HINSDALE PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800162198",
            "telephone_number": "303-720-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25480 E HINSDALE PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80016",
            "telephone_number": "303-720-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "NATHAN",
        "name_prefix": "Mr.",
        "credential": "SAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-04",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "SA0002003",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "15-183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAC",
            "identifier": "SA0002003",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHAN",
            "last_name": "MITCHELL",
            "prefix": "MR.",
            "credential": "NATHAN MITCHELL, SAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.