Paul Mitchell Pain Management, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

00666 Issued in SC

Legal business name

PAUL MITCHELL PAIN MANAGEMENT, P.A.

Practice address

15 Moss Creek VLG
Hilton Head Island, SC 29926-1105

Phone

(843) 415-8511

Fax

(800) 820-0148

NPI assigned

Feb 24, 2015

Organization subpart

No

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

Authorized official

Name

Paul Raymond Mitchell, D.ONPI 1699728477

Title

Owner/Physician

Phone

(843) 415-8511

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Raymond Mitchell, DO

  • Anesthesiology Physician
  • Hilton Head Island, SC
  • NPI 1699728477

  SC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1669864948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOSS CREEK VLG",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261105",
            "telephone_number": "843-415-8511",
            "fax_number": "800-820-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOSS CREEK VLG",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261105",
            "telephone_number": "843-415-8511",
            "fax_number": "800-820-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL MITCHELL PAIN MANAGEMENT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "843-415-8511",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "00666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Patane, ATC/L
• Ankit Patel, M.D.
• Kalpesh A Patel, PHARMACIST
• Patricia a. North, M.D. LLC
• Jan Patton
• Paula Nelson M.D.
• Judy Claire Paull, DNP, APRN
• Martin K Pauls, DDS
• Tiffany Peach, RN
• Kristin Denise Perilli, OTR/L

• All providers in Hilton Head Island, SC
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.