Individual provider Active NPI

Patrick W Mitchell, M.D.

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1528153301
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101044197 Issued in VA
Practice address
2500 Pocoshock PL Ste 104
Richmond, VA 23235-6345
Phone
(804) 276-9305
Fax
(804) 674-4145
NPI assigned
Oct 4, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101044197 VA Primary

Addresses

Primary practice location

2500 Pocoshock PL Ste 104
Richmond, VA 23235-6345

Mailing address

2500 Pocoshock PL Ste 104
Richmond, VA 23235-6345
Phone (804) 276-9305

Other identifiers 1

IdentifierTypeStateIssuer
5609283MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Family Practice Center, PC Family Medicine Current Accepting new patients

Locations

2500 Pocoshock Pl
North Chesterfield, VA 23235
Phone (804) 276-9305

2500 Pocoshock Pl
Ste 104
North Chesterfield, VA 23235
Phone (804) 276-9305

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1528153301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 POCOSHOCK PL STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232356345",
            "telephone_number": "804-276-9305",
            "fax_number": "804-674-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 POCOSHOCK PL STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232356345",
            "telephone_number": "804-276-9305",
            "fax_number": "804-674-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "PATRICK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101044197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5609283",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.