Active NPI
Thomas J Mitchell, M.D.
- Emergency Medicine Physician
- Meadville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD062642L
- Practice address
- 751 Liberty St
Meadville, PA 16335-2559 - Phone
- (814) 333-5000
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD062642L | PA | Primary |
Addresses
Primary practice location
751 Liberty St
Meadville, PA 16335-2559
Mailing address
20446 Cochranton Rd
Meadville, PA 16335-5170
Phone (319) 272-2112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016572160005 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookville Hospital | Emergency Medicine | Current | Accepting new patients |
| Titusville Area Hospital | Current | Accepting new patients | |
| Brookville Hospital | Emergency Medicine | Current | Accepting new patients |
| Dubois Regional Medical Center | Current | Accepting new patients | |
| Titusville Area Hospital | Current | Accepting new patients | |
| Meadville Urgent Care Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Dubois Regional Medical Center | Emergency Medicine | Current | Accepting new patients |
| Titusville Area Hospital | Current | Accepting new patients |
Locations
100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408
118 Railroad St
Cambridge Springs, PA 16403
Phone (814) 373-3080
809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341
906 Washington St
Conneautville, PA 16406
Phone (814) 373-2276
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
100 Hospital Ave
Ofc
Dubois, PA 15801
1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728
640 Alden St
Meadville, PA 16335
Phone (814) 373-5255
1009 Water St
Meadville, PA 16335
Phone (814) 337-2273
16332 Conneaut Lake Rd
Meadville, PA 16335
Phone (814) 337-8762
406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851
Interoperability endpoints
- thomas.j.mitchell@directaddress.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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Meadville, PA
- NPI 1679873723
-
- Emergency Medicine Physician
- Brookville, PA
- NPI 1063560852
-
- Emergency Medicine Physician
- Du Bois, PA
- NPI 1992802391
-
- Rural Health Clinic/Center
- Meadville, PA
- NPI 1962964981
-
- Pharmacy
- Ridgway, PA
- NPI 1366900458
-
- Rural Health Clinic/Center
- Conneautville, PA
- NPI 1235691973
-
- Audiologist
- Titusville, PA
- NPI 1306712104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1336185040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20446 COCHRANTON RD",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163355170",
"telephone_number": "319-272-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 LIBERTY ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352559",
"telephone_number": "814-333-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD062642L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016572160005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.