DTM Wellness PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

DTM WELLNESS PLLC

Practice address

601 Shelley Park PLZ
Tyler, TX 75701-9457

Phone

(972) 920-6968

NPI assigned

Feb 6, 2020

Organization subpart

No

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

Authorized official

Name

Derek T Mitchell, MDNPI 1093744484

Title

Owner, Authorized Official

Phone

(972) 920-6968

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Mitchell, MD

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1093744484
  Medicare reassignment NPD Authorized official
• Sarah Harville, WHNP-BC

  • Women's Health Nurse Practitioner
  • Greenville, TX
  • NPI 1619344579
  Medicare reassignment NPD
• Eric Manalansan

  • Physical Therapist
  • Richardson, TX
  • NPI 1881766178
  Medicare reassignment NPD
• Heather D Rasnake, PA

  • Physician Assistant
  • Tyler, TX
  • NPI 1619945862
  Medicare reassignment
• Michael Sheehan, PA-C

  • Medical Physician Assistant
  • Plano, TX
  • NPI 1255662557
  Medicare reassignment

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1306478417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SHELLEY PARK PLZ",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019457",
            "telephone_number": "972-920-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SHELLEY PARK PLZ",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019457",
            "telephone_number": "972-920-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTM WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-920-6968",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Driskell
• DRL Labs LTD
• DRM Business Health, PLLC
• Robert Droder, M.D.
• Tammy Dry
• Arnulfo Duarte, DO
• Karan Lynne Dublin, RN
• Kristi Dubois, MS, CCC-SLP
• Janey Dudley Deleeuw
• Lane Dudo, FNP-C

• Pain Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.