Organization Active NPI

Joseph C Mitro, MD, PC

  • Obstetrics & Gynecology Physician
  • Duncan, OK
National Provider Identifier
1235365669
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JOSEPH C MITRO, MD, PC
Practice address
2115 Duncan Regional Loop Road
Duncan, OK 73533-1514
Phone
(580) 470-9800
Fax
(580) 470-9802
NPI assigned
May 29, 2009
Last updated
Jul 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Dr. Joseph C Mitro, MD
Title
Owner
Phone
(580) 470-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

2115 Duncan Regional Loop Road
Duncan, OK 73533-1514

Mailing address

2115 Duncan Regional Loop Road
Duncan, OK 73533-1514
Phone (580) 470-9800

Other identifiers 1

IdentifierTypeStateIssuer
100148540AMedicaidOK

National Provider Directory

National Provider Directory

Locations

2115 Duncan Regional Loop
Duncan, OK 73533
Phone (580) 251-6806

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1235365669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 DUNCAN REGIONAL LOOP ROAD",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331514",
            "telephone_number": "580-470-9800",
            "fax_number": "580-470-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 DUNCAN REGIONAL LOOP ROAD",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331514",
            "telephone_number": "580-470-9800",
            "fax_number": "580-470-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH C MITRO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "MITRO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-470-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100148540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

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

Verify at the official NPI Registry.