Individual provider Active NPI

William Crit Mitchell, MD

  • Family Medicine Physician
  • Lorena, TX
National Provider Identifier
1619945060
Registry record updated May 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J4360 Issued in TX
Practice address
355 Hunters Meadow Dr
Lorena, TX 76655-3539
Phone
(254) 644-4966
Fax
(254) 732-0483
NPI assigned
Mar 10, 2006
Last updated
May 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J4360 TX
Family Medicine Physician 207Q00000X J4360 TX Primary

Addresses

Primary practice location

355 Hunters Meadow Dr
Lorena, TX 76655-3539

Mailing address

355 Hunters Meadow Dr
Lorena, TX 76655-3539
Phone (254) 644-4966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001412 TX Practitioner - Family PracticePractitioner - Emergency Medicine 6406831759 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ess of Crockett, LLCGroup PAC ID 3678942778, 21 clinicians
Ess of Nacogdoches LLCGroup PAC ID 3375821630, 27 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

1100 E Loop
Suite 304
Crockett, TX 75835-1810
Phone (936) 931-3891

1204 N Mound St
Nacogdoches, TX 75961-4027
Phone (936) 564-4611

200 W Ollie St
Llano, TX 78643-2628
Phone (325) 247-5040

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Urgent Care LLC CurrentSince Oct 1, 2022 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Oct 1, 2013 Accepting new patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 10, 2018 Accepting new patients
West Texas Urgent Care LLC CurrentSince Oct 1, 2022 Accepting new patients
Ess of South Texas LLC Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Oleander Emergency Medicine Associates PA Emergency Medicine CurrentSince Jan 28, 2014 Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Oct 21, 2002 Accepting new patients
HCC of Fairfield LLC CurrentSince Dec 17, 2018 Accepting new patients
Coryell County Memorial Hospital Authority Emergency Medicine CurrentSince Oct 21, 2002 Accepting new patients
Ess of Fairfield LLC Emergency Medicine CurrentSince Dec 17, 2018 Accepting new patients
Ess of Crockett, LLC Emergency Medicine CurrentSince Jan 15, 2023 Accepting new patients
Texas Emergency Group LLC Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Oct 1, 2013 Accepting new patients
Ess of Nacogdoches LLC Emergency Medicine CurrentSince Oct 4, 2016 Accepting new patients
Southwest Medical Associates, Inc. Emergency Medicine CurrentSince Jan 1, 2007 Accepting new patients
Coryell County Memorial Hospital Authority Current Accepting new patients
Texas Emergency Room Services , PA Emergency Medicine Past Accepting new patients
East Texas Medical Center Healthcare Associates Emergency Medicine Past Accepting new patients
Texas Emergency Room Services, PA Emergency Medicine Past Accepting new patients
Glen Rose Medical Foundation Inc. Emergency Medicine Past Accepting new patients
Glen Rose Medical Foundation Emergency Medicine Past Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients

Locations

4438 S Clack St
Ste 200
Abilene, TX 79606
Phone (325) 704-4470

504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

2900 Sterling Hart Dr
Commerce, TX 75428
Phone (903) 408-1102

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

Interoperability endpoints

  • Direct secure messaging: fmcwmitch@yourcarecommunity.org
  • Direct secure messaging: william.mitchell.1@6815.direct.athenahealth.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272672000000",
    "number": "1619945060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 HUNTERS MEADOW DR",
            "city": "LORENA",
            "state": "TX",
            "postal_code": "766553539",
            "telephone_number": "254-644-4966",
            "fax_number": "254-732-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 HUNTERS MEADOW DR",
            "city": "LORENA",
            "state": "TX",
            "postal_code": "766553539",
            "telephone_number": "254-644-4966",
            "fax_number": "254-732-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILLIAM",
        "middle_name": "CRIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2010-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J4360",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorena, TX

Sources for this page

Verify at the official NPI Registry.