Mitchell Family Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MITCHELL FAMILY DERMATOLOGY LLC

Practice address

11236 Robinwood Dr Ste 102
Hagerstown, MD 21742-6800

Phone

(301) 936-3376

Fax

(301) 750-9896

NPI assigned

Jul 18, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Meghan W Mitchell, MDNPI 1134447048

Title

Owner

Phone

(415) 802-1310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Meghan Wolcott Mitchell, MD

  • Dermatology Physician
  • Hagerstown, MD
  • NPI 1134447048
  Medicare reassignment NPD Authorized official
• Christine P Lewis, M.D.

  • Gastroenterology Physician
  • Hagerstown, MD
  • NPI 1659361723
  NPD
• Anandita Ashoke Datta, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bowie, MD
  • NPI 1922030477
  NPD (past)

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1144112574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11236 ROBINWOOD DR STE 102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426800",
            "telephone_number": "301-936-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11236 ROBINWOOD DR STE 102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426800",
            "telephone_number": "301-936-3376",
            "fax_number": "301-750-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL FAMILY DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-802-1310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Miran, D.O.
• Gary M Mire, M.D.
• Matthew Mirigian, DMD
• Cynthia Jane Missling
• Brandon Mitchel, OTR/L
• Charles Brandon Mitchell, M.D.
• Meghan Wolcott Mitchell, MD
• Tina Mitchell
• MNR Industries, LLC
• Amber Dawn Moats, MHA, ATC, LAT,

• Dermatology Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.