David M Mitchell, MD PHD
Individual provider Active NPI Internal Medicine Physician · Lebanon, VA
NPI 1699724013 · NPPES record last updated Feb 20, 2017
Key facts
- NPI
- 1699724013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101260654 (VA)
- Practice address
- 58 Carroll St
Room 2037
Lebanon, VA 24266 - Phone
- (276) 883-8062
- Fax
- (276) 883-8064
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients | |
| Wynn Medical Center | Past | Accepting new patients | |
| Inpatient Medical Services, Inc. | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101260654 | VA | Yes |
Addresses
Primary practice location
58 Carroll St
Room 2037
Lebanon, VA 24266
Mailing address
58 Carroll St
Room 2037
Lebanon, VA 24266
Phone (276) 883-8062
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699724013 | Medicaid | VA | |
| Q026153 | Medicaid | TN |
Other providers in Lebanon, VA
- Merit Medical RHC Lebanon Inc
- Chandler Miller
- Kimberly Michelle Miller
- Madison Paige Miller
- Shelley Renea Miller
- Jean M Montgomery
- Mountain States Health Alliance
- Mountain States Health Alliance
- Mountain States Health Alliance
- Mountain States Health Alliance
All providers in Lebanon, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.