Individual provider Active NPI

William B Mitchell, M.D.

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1679500185
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35-081480M Issued in OH
Practice address
111 S Grant Ave
3Rd Floor Radiology Dept.
Columbus, OH 43215-4701
Phone
(614) 566-9231
Fax
(614) 566-8385
NPI assigned
Jun 28, 2006
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35-081480M OH Primary

Addresses

Primary practice location

111 S Grant Ave
3Rd Floor Radiology Dept.
Columbus, OH 43215-4701

Mailing address

471 E Broad St
Suite 1500
Columbus, OH 43215-3842
Phone (614) 221-3303

Other identifiers 1

IdentifierTypeStateIssuer
2334003MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060406000141 OH Practitioner - Diagnostic Radiology 0941219760 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

111 S Grant Ave
Ohiohealth Grant Medical Center
Columbus, OH 43215-4701
Phone (614) 228-7231

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-081480MOHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Mar 1, 2006 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Mar 27, 2020 Accepting new patients
Fairfield Diagnostic Imaging, LLC Diagnostic Radiology Past Accepting new patients
Fairfield Imaging Associates, Inc Diagnostic Radiology Past Accepting new patients
Imaging Consultants of Findlay, Inc Diagnostic Radiology Past Accepting new patients
Advanced Radiology PC Diagnostic Radiology Past Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

7755 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-2230

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

471 E Broad St
Ste 1500
Columbus, OH 43215

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

1241 River Valley Blvd
Lancaster, OH 43130
Phone (740) 654-6312

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

12037 Sheraton Ln
Springdale, OH 45246
Phone (513) 671-3320

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: wmitchell131715@direct.bsmhealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1679500185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E BROAD ST",
            "address_2": "SUITE 1500",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153842",
            "telephone_number": "614-221-3303",
            "fax_number": "614-464-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE",
            "address_2": "3RD FLOOR RADIOLOGY DEPT.",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "614-566-9231",
            "fax_number": "614-566-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-081480M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2334003",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.