Individual provider Active NPI

James Craig Mitchiner, MD

  • Emergency Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1447293667
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301052513 Issued in MI
Practice address
St. Joseph Mercy Hospital - Emergency Department
Ann Arbor, MI 48106
Phone
(734) 712-3000
Fax
(734) 712-3275
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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 4301052513 MI Primary

Addresses

Primary practice location

St. Joseph Mercy Hospital - Emergency Department
Ann Arbor, MI 48106

Mailing address

2000 Green Rd
Suite 300
Ann Arbor, MI 48105-1598
Phone (734) 995-3764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Mercy Hospital Current Accepting new patients
Chelsea Community Hospital CurrentSince Aug 1, 2019 Accepting new patients
Chelsea Community Hospital Current Accepting new patients
St Joseph Mercy Hospital Emergency Medicine CurrentSince Apr 15, 2014 Accepting new patients
St Joseph Mercy Hospital CurrentSince Apr 15, 2014 Accepting new patients

Locations

1600 S Canton Center Rd
Canton, MI 48188
Phone (734) 398-7557

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

Organizations & group practices 5

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1447293667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GREEN RD",
            "address_2": "SUITE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051598",
            "telephone_number": "734-995-3764",
            "fax_number": "734-712-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. JOSEPH MERCY HOSPITAL - EMERGENCY DEPARTMENT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48106",
            "telephone_number": "734-712-3000",
            "fax_number": "734-712-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHINER",
        "first_name": "JAMES",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301052513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.