Stephen Basil Mitchell, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

26420 Issued in KY

Practice address

234 Medical Circle
Morehead, KY 40351-1181

Phone

(606) 784-6641

Fax

(606) 780-2373

NPI assigned

May 3, 2006

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

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Black & Carpenter PSC

  • Internal Medicine Physician
  • Morehead, KY
  • NPI 1770557936
  NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1093773459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MEDICAL CIRCLE",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511181",
            "telephone_number": "606-784-6641",
            "fax_number": "606-783-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MEDICAL CIRCLE",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511181",
            "telephone_number": "606-784-6641",
            "fax_number": "606-780-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "STEPHEN",
        "middle_name": "BASIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "26420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA - WS",
            "identifier": "000023034T",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO - WS",
            "identifier": "100706",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVTG - WS",
            "identifier": "3691818000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - WS",
            "identifier": "00533088",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64264203",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT - WS",
            "identifier": "50021524",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - WS",
            "identifier": "000000601375",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200941190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cori Nicole Miller
• Kevin Miller, PHARMD
• Robert Clell Miller Jr., MD
• Shayla Miller
• Wayne Miller
• Mobility & Therapy Solutions, PLLC
• Keisha Dawn Montgomery, BSW
• Kent Montgomery, RN
• Travis H Montgomery, PA-C
• Ann Pollard Moore, APRN, CNM

• Obstetrics & Gynecology Physician in Morehead, KY
• Providers in Morehead, KY by specialty
• Obstetrics & Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.