Isaac N Mitre, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

01022272A Issued in IN

Practice address

1623 N 4TH Street
Terre Haute, IN 47804

Phone

(812) 238-1652

Fax

(812) 238-2648

NPI assigned

Nov 2, 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 2

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: imitre@unionhealth.cernerdirect.com

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.

• Obhg Indiana, PC

  • Obstetrics & Gynecology Physician
  • Evansville, IN
  • NPI 1811232218
  Medicare reassignment
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1093894057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 N 4TH STREET",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47804",
            "telephone_number": "812-238-1652",
            "fax_number": "812-238-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 N 4TH STREET",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47804",
            "telephone_number": "812-238-1652",
            "fax_number": "812-238-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITRE",
        "first_name": "ISAAC",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01022272A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100250040A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "000000082864",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amani Mitchell
• Jamie Lynn Mitchell, MA
• Kady Mitchell, RBT
• Phillip B Mitchell II, LCSW
• Teana Mitchell
• MLB Terre Haute Health Facilities
• Nabil E Mnayarji, MD
• Arsalan Bin Mohammad, MD
• Djavad Mollabashy, MD
• Karen Jane Monds, OTR

• Obstetrics & Gynecology Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.