Ingrid Dominic Mitchell, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601003504 Issued in MI

Practice address

18254 Livernois Ave Ste 1
Detroit, MI 48221-4214

Phone

(313) 861-4400

Fax

(248) 336-9137

NPI assigned

Jul 13, 2006

Last updated

Jun 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: imitchell@landmarkhealth-direct.org

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI

  Medicare reassignment NPD
• The Detroit Recovery Project

  dba Detroit recovery Project, Inc

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1760890263
  Medicare reassignment
• Botsford General Hospital

  • Obstetrics & Gynecology Physician
  • Livonia, MI
  • NPI 1821006255
  NPD
• At Home Physicians Managing Co

  • Specialist
  • Warren, MI
  • NPI 1578894606
  NPD (past)
• Detroit Recovery Project

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1578850251
  NPD (past)
• Epic Primary Care II PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1235526047

  Physician Assistant

  NPD (past)
• Healthland Housecall Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Warren, MI
  • NPI 1760029581
  NPD (past)
• Healthland P C

  • Gerontology Nurse Practitioner
  • Warren, MI
  • NPI 1346304748
  NPD (past)
• Mme Enterprises Inc

  dba At Home Diagnostics

  • Specialist
  • Warren, MI
  • NPI 1720369051
  NPD (past)
• Professional Medical Center PC

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1619985058
  NPD (past)
• Socialaspect Consulting Agency Inc

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1295969798
  NPD (past)
• Total Health Care Professionals, PLLC

  • Legal Medicine
  • Farmington Hills, MI
  • NPI 1265619985
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1295750677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 ENTERPRISE CT",
            "address_2": "SUITE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020320",
            "telephone_number": "248-336-4000",
            "fax_number": "248-336-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18254 LIVERNOIS AVE STE 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482214214",
            "telephone_number": "313-861-4400",
            "fax_number": "248-336-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "INGRID",
        "middle_name": "DOMINIC",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie L Mitchell, MD
• Deborah Mitchell
• Deborah Mitchell, RN
• Felicia Mitchell
• Giordano Bruno Mitchell, M.D.
• Jack Mitchell
• Jamika Mitchell
• Jenneatta Mitchell, LLMSW
• Jimmie Mitchell III
• John Daniel Mitchell, M.D.

• Medical Physician Assistant in Detroit, MI
• Providers in Detroit, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.