Mitchell Internal Medicine, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MITCHELL INTERNAL MEDICINE, INC.

Practice address

4834 Socialville Foster Rd
Suite 10
Mason, OH 45040-6826

Phone

(513) 336-9101

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dyatra B Mitchell, MDNPI 1285694380

Title

Owner

Phone

(513) 336-9101

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dyatra Mitchell, MD

  • Internal Medicine Physician
  • Mason, OH
  • NPI 1285694380
  NPD (past) Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1114957834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643766",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643766",
            "telephone_number": "513-336-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 SOCIALVILLE FOSTER RD",
            "address_2": "SUITE 10",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406826",
            "telephone_number": "513-336-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL INTERNAL MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DYATRA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-336-9101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061165",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Terrence Minick, M.D.
• Jennifer Michelle Minnich, D.C.
• Mira Precision Health, Inc
• Emily A Misner, LSW
• Mit'S My Assistant
• Daeza Mitchell
• Dyatra Mitchell, MD
• Judith Eileen Mitchell, CNS,BC
• Lina Mitchell, MD
• Sharon L. Moeller, RN

• Internal Medicine Physician in Mason, OH
• Providers in Mason, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.