Michael R Mitchell, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G3616 Issued in TX

Practice address

400 W Arbrook Blvd Ste 200
Arlington, TX 76014-3176

Phone

(817) 784-1238

Fax

(817) 468-2028

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: michael.mitchell.1@12705.direct.athenahealth.com

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1669436655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16980 DALLAS PKWY",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481908",
            "telephone_number": "817-684-9970",
            "fax_number": "817-684-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143176",
            "telephone_number": "817-784-1238",
            "fax_number": "817-468-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "G3616",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G3616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137736807",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137736811",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mission Metroplex, Inc.
• Angela Diane Mitchell, PH.D
• Annisa Mitchell
• Cheryl D. Mitchell, AG-ACNP-BC
• Mary Ann Mitchell, LPC
• Millian Mitchell
• Rodger Mitchell, M.D.
• Sarafia Mitchell
• Mitchum & Williams Tender Hearts Group
• Mitchum and Williams Tender Care

• Cardiovascular Disease Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.