NPIMap

Organization Active NPI

Michael J Mitchell MD Facs PLLC

  • Vascular Surgery Physician
  • Niagara Falls, NY
National Provider Identifier
1386823045
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
1918411 Issued in NY
Legal business name
MICHAEL J MITCHELL MD FACS PLLC
Practice address
620 Tenth St
Suite 715
Niagara Falls, NY 14301
Phone
(716) 282-0349
Fax
(716) 282-4152
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Michael J Mitchell, MD
Title
Owner President
Phone
(716) 282-0349

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 1918411 NY
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X 1918411 NY Primary

Addresses

Primary practice location

620 Tenth St
Suite 715
Niagara Falls, NY 14301

Mailing address

620 Tenth St
Suite 715
Niagara Falls, NY 14301
Phone (716) 282-0349

National Provider Directory

National Provider Directory

Locations

4960 Harlem Rd
Ste 100
Buffalo, NY 14226
Phone (716) 748-7640

2809 Wehrle Dr
Ste 13
Williamsville, NY 14221
Phone (716) 282-0349

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1386823045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 TENTH ST",
            "address_2": "SUITE 715",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14301",
            "telephone_number": "716-282-0349",
            "fax_number": "716-282-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 TENTH ST",
            "address_2": "SUITE 715",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14301",
            "telephone_number": "716-282-0349",
            "fax_number": "716-282-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J MITCHELL MD FACS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "716-282-0349",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "1918411",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "1918411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.