Organization Active NPI

Mitchell Orthopedic Associates

  • Specialist
  • Uniontown, PA
National Provider Identifier
1295038461
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD008619E Issued in PA
Legal business name
MITCHELL ORTHOPEDIC ASSOCIATES
Practice address
180 N Gallatin Ave
Uniontown, PA 15401-2969
Phone
(724) 437-0666
Fax
(724) 437-2715
NPI assigned
Dec 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Roberta L Kelly
Title
Office Manager
Phone
(724) 437-0666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD008619E PA Primary

Addresses

Primary practice location

180 N Gallatin Ave
Uniontown, PA 15401-2969

Mailing address

180 N Gallatin Ave
Uniontown, PA 15401-2969
Phone (724) 437-0666

Other identifiers 1

IdentifierTypeStateIssuer
0015884500001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1295038461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N GALLATIN AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012969",
            "telephone_number": "724-437-0666",
            "fax_number": "724-437-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N GALLATIN AVE",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012969",
            "telephone_number": "724-437-0666",
            "fax_number": "724-437-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL ORTHOPEDIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-437-0666"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD008619E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015884500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.