Mitchell Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MITCHELL MEDICAL

Practice address

155 Highway 71 N
De Queen, AR 71832-3706

Phone

(870) 642-8818

NPI assigned

Mar 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. James Keith Mitchell, MD

Title

Employer

Phone

(870) 642-8818

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Practitioners 2

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

• J Keith Mitchell, MD

  • Family Medicine Physician
  • De Queen, AR
  • NPI 1942208277
  NPD
• Tabitha Lanette Ochoa, APRN

  • Family Nurse Practitioner
  • De Queen, AR
  • NPI 1568061828
  NPD

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1154906162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 345",
            "city": "HORATIO",
            "state": "AR",
            "postal_code": "718420345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HIGHWAY 71 N",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718323706",
            "telephone_number": "870-642-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "870-642-8818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125229001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1942208277",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER NPI",
            "identifier": "1568061828",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "md_mitchell_tabitha@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Work E-Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "155 Highway 71 N",
            "city": "DE Queen",
            "state": "AR",
            "country_code": "US",
            "postal_code": "718323706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nickolas Matthews, APRN-CNP
• Susan Kathryn McClintock, APRN
• McCurtain Memorial Medical Management, Inc.
• Med Southwest, PLLC
• Jessica Mendez
• Daryl Boyd Mitchell, LCSW
• J Keith Mitchell, MD
• Tessa Michele Moody, PT
• Autumn Morales, APRN
• Miriam Carreon Morales

• Family Medicine Physician in De Queen, AR
• Providers in De Queen, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.