Active NPI
Erica Leith Mitchell, MD
- Vascular Surgery Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 63011
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-7810
- NPI assigned
- Oct 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 73803 | WI | |
| Vascular Surgery Physician | 2086S0129X | MD24570 | OR | |
| Vascular Surgery Physician | 2086S0129X | 63011 | TN | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3452 NW Vaughn St
Portland, OR 97210-1247
Other practice location 1
1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300
Other practice location 2
262 Danny Thomas Pl
Memphis, TN 38105-3678
Phone (901) 595-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, WI, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Colorado School of Medicine, Aurora, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
406 S 30TH Ave
Suite 101
Yakima, WA 98902-3713
Phone (509) 248-7715
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
569 Skyline Dr
Jackson, TN 38301-3911
Phone (731) 421-6510
880 Madison Ave
Memphis, TN 38103-3409
Phone (901) 545-6969
979 E 3Rd St
Chattanooga, TN 37403-2136
Phone (423) 778-5661
Hospital & facility affiliations
- Regional One Health
- Yakima Valley Memorial
- Jackson-Madison County General Hospital
- Erlanger Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| West Tennessee Medical Group Inc | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients |
Locations
979 E 3rd St
Ste C520
Chattanooga, TN 37403
Phone (423) 778-4465
979 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 757-0792
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
569 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
700 W Forest Ave
Ste 4
Jackson, TN 38301
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
880 Madison Ave
Memphis, TN 38103
Phone (901) 515-3500
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
Interoperability endpoints
- emitchell25869@mlh.direct-ci.com
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1477256303
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Surgery Physician
- Memphis, TN
- NPI 1093130585
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
-
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1396297487
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1144213117
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1417044462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3452 NW VAUGHN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972101247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-7810"
}
],
"practiceLocations": [
{
"address_1": "1836 South Ave",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546015429",
"country_code": "US",
"telephone_number": "608-782-7300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "262 Danny Thomas Pl",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381053678",
"country_code": "US",
"telephone_number": "901-595-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "ERICA",
"middle_name": "LEITH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-09",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WI",
"license": "73803",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "OR",
"license": "MD24570",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TN",
"license": "63011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.