Individual provider Active NPI

Thomas J Mitchell, M.D.

  • Emergency Medicine Physician
  • Meadville, PA
National Provider Identifier
1336185040
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD062642L Issued in PA
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

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0016572160005MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040211000017 PA Practitioner - Family PracticePractitioner - Emergency Medicine 3678467990 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Titusville Area Hospital CurrentSince Dec 5, 2023 Accepting new patients
Brookville Hospital Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Dubois Regional Medical Center CurrentSince Jan 1, 2017 Accepting new patients
Titusville Area Hospital CurrentSince Dec 5, 2023 Accepting new patients
Meadville Urgent Care Physicians LLC Emergency Medicine CurrentSince Dec 1, 2010 Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Jan 1, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.