John Mark Mitchiner, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

183090 Issued in SC

Practice address

237 Church St
Sumter, SC 29150-4202

Phone

(803) 775-6311

Fax

(803) 778-5131

NPI assigned

Jul 21, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIDGAD/Endpoint/BIDGAD
• FHIR API: https://fhir4.healow.com/fhir/r4/BIDGAD

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.

• Sumter Pediatrics, P.a.

  • Pediatrics Physician
  • Sumter, SC
  • NPI 1871593749
  NPD (past)
• Teresa L Buscher MD

  dba Sumter Pediatrics PA

  • Non-Pharmacy Dispensing Site
  • Sumter, SC
  • NPI 1518033083
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1144220088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 CHURCH ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504202",
            "telephone_number": "803-775-6311",
            "fax_number": "803-778-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 CHURCH ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504202",
            "telephone_number": "803-775-6311",
            "fax_number": "803-778-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHINER",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "183090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183090",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Min Interpreter and Translation Services LLC
• Mishawnna Industries LLC
• Brooklyn Mitchell
• Samantha Mitchell, COTA/L
• Shonta Taylor Mitchell, FNP
• Mobile Diagnostics, LLC (Sumter Neorology and Pain Management)
• Ashley Moise
• Lucie M. Moise, LPC
• Tiffany D Monroe
• Beverly A Montgomery, MA, CBIS

• Pediatrics Physician in Sumter, SC
• Providers in Sumter, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.