Individual provider Active NPI

Mitchell L. Earley, D.O.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1235179003
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3849 Issued in OK
Practice address
6801 W Memorial Rd Unit E
Oklahoma City, OK 73142-2103
Phone
(405) 491-4090
Fax
(405) 491-4091
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39879 SC
Family Medicine Physician 207Q00000X 3849 OK Primary

Addresses

Primary practice location

6801 W Memorial Rd Unit E
Oklahoma City, OK 73142-2103

Mailing address

6801 W Memorial Rd Unit E
Oklahoma City, OK 73142-2103
Phone (405) 491-4090

Other identifiers 1

IdentifierTypeStateIssuer
398796MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041215000961 OK Practitioner - Family Practice 2365409802 Reassigns benefits to 1 organization
I20161213000424 SC Practitioner - Family Practice 2365409802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

5201 W Memorial Rd
Oklahoma City, OK 73142-2004
Phone (405) 755-4050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3849OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Jul 25, 2022 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jan 9, 2017 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jan 9, 2017 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Lightstar Emergency Physicians, PLLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Apr 20, 2025 Accepting new patients

Locations

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

5201 W Memorial Rd
Oklahoma City, OK 73142
Phone (405) 755-4050

6801 W Memorial Rd
Unit E
Oklahoma City, OK 73142
Phone (405) 491-4090

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

1101 Bowman Rd
Mt Pleasant, SC 29464
Phone (843) 284-4911

1400 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 884-0301

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: mearley1303337@directc.mercy.net

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1235179003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W MEMORIAL RD UNIT E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422103",
            "telephone_number": "405-491-4090",
            "fax_number": "405-491-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 W MEMORIAL RD UNIT E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422103",
            "telephone_number": "405-491-4090",
            "fax_number": "405-491-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLEY",
        "first_name": "MITCHELL",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "39879",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398796",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.