Active NPI
Mitchell J Ghen X, D.O.
- Family Medicine Physician
- Hillsboro Beach, FL
National Provider Identifier
1508040502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS4280
- Practice address
- 1167 Hillsboro Mile Apt 616F
Hillsboro Beach, FL 33062-1618 - Phone
- (561) 789-1588
- NPI assigned
- Dec 27, 2007
- Last updated
- Dec 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS4280 | FL | Primary |
Addresses
Primary practice location
1167 Hillsboro Mile Apt 616F
Hillsboro Beach, FL 33062-1618
Mailing address
1167 Hillsboro Mile Apt 616F
Hillsboro Beach, FL 33062-1618
Phone (561) 789-1588
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4280 | FL | MD | Optician |
| OS4280 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1508040502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 HILLSBORO MILE APT 616F",
"city": "HILLSBORO BEACH",
"state": "FL",
"postal_code": "330621618",
"telephone_number": "561-789-1588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1167 HILLSBORO MILE APT 616F",
"city": "HILLSBORO BEACH",
"state": "FL",
"postal_code": "330621618",
"telephone_number": "561-789-1588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHEN",
"first_name": "MITCHELL",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "X",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS4280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.