Charles D. Mitchell MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

E1680 Issued in TX

Legal business name

CHARLES D. MITCHELL MD PA

Practice address

3500 I-30 Ste C101
Mesquite, TX 75150-2676

Phone

(972) 682-1307

Fax

(972) 686-2546

NPI assigned

Jul 21, 2010

Organization subpart

No

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

Authorized official

Name

Charles D Mitchell, MD

Title

Owner

Phone

(972) 682-1307

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1174836985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 I-30 STE C101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502676",
            "telephone_number": "972-682-1307",
            "fax_number": "972-686-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 I-30 STE C101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502676",
            "telephone_number": "972-682-1307",
            "fax_number": "972-686-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES D. MITCHELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-682-1307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E1680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.