Active NPI
Michael F. Mitrick, D.O.
- Orthopaedic Surgery Physician
- York, PA
National Provider Identifier
1235103961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- OS004545L
- Practice address
- 1750 5TH Ave
Suite 201
York, PA 17403-2607 - Phone
- (717) 848-2297
- Fax
- (717) 848-2941
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | OS004545L | PA | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | OS004545L | PA |
Addresses
Primary practice location
1750 5TH Ave
Suite 201
York, PA 17403-2607
Mailing address
1855 Powder Mill Rd
York, PA 17402-4723
Phone (717) 848-4800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177124 | Other | PA | HIGHMARK |
| 202459 | Other | PA | HEALTH AMERICA |
| 03182100 | Other | PA | CAPITAL BLUE CROSS |
| CK4276 | Other | PA | MEDICARE RR PALMETO GBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS004545L | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitrick Pollack Rutter Orthopaedics LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba York Interventional Spine Center
- Ambulatory Surgical Clinic/Center
- York, PA
- NPI 1346399938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1235103961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 POWDER MILL RD",
"city": "YORK",
"state": "PA",
"postal_code": "174024723",
"telephone_number": "717-848-4800",
"fax_number": "717-741-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 5TH AVE",
"address_2": "SUITE 201",
"city": "YORK",
"state": "PA",
"postal_code": "174032607",
"telephone_number": "717-848-2297",
"fax_number": "717-848-2941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITRICK",
"first_name": "MICHAEL",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "OS004545L",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "PA",
"license": "OS004545L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "177124",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "202459",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "03182100",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PALMETO GBA",
"identifier": "CK4276",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
- Mitchell Familly Chiropractic L.L.C
- Crystal Mitchell Tilson
- Tyler Mitcheltree, DC
- Mitrick Pollack Rutter Orthopaedics LLP (York Interventional Spine Center)
- Mitrick Pollack Rutter Orthopaedics LLP
- Jennifer Lynne Mitton, MA, LBS, BCBA
- Laura I Mitzel, BA
- Ali-Reza Mobaraki
- Mobile Doctors
- Mobile on Site Therapy Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.