Active NPI
Michael Ernst Mitchell, M.D.
- Urology Physician
- Milwaukee, WI
National Provider Identifier
1104928100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 49649
- Practice address
- 9000 W Wisconsin Ave
Milwaukee, WI 53226-3518 - Phone
- (414) 805-3666
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 49649 | WI | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave
Milwaukee, WI 53226-3518
Mailing address
10000 W Innovation Dr
Milwaukee, WI 53226-4837
Phone (414) 456-5006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34711000 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1104928100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 W INNOVATION DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264837",
"telephone_number": "414-456-5006",
"fax_number": "414-456-6259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263518",
"telephone_number": "414-805-3666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "MICHAEL",
"middle_name": "ERNST",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WI",
"license": "49649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34711000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.