Active NPI
Jo Ann Mitchell, DO
- Internal Medicine Physician
- Pontiac, MI
National Provider Identifier
1700811254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101011682
- Practice address
- 50 North Perry
Pontiac, MI 48342 - Phone
- (248) 338-5516
- Fax
- (248) 338-5547
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101011682 | MI | Primary |
Addresses
Primary practice location
50 North Perry
Pontiac, MI 48342
Mailing address
50 North Perry
Pontiac, MI 48342
Phone (248) 338-5516
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4944A | Other | MI | CAPE |
| JM011682 | Other | MI | BCBS |
| P89197 | Other | BCN | |
| 10011510005 | Other | MI | WELLNESS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101011682 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telemed Consultants PLLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1699398347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700811254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 NORTH PERRY",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48342",
"telephone_number": "248-338-5516",
"fax_number": "248-338-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 NORTH PERRY",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48342",
"telephone_number": "248-338-5516",
"fax_number": "248-338-5547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JO",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101011682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE",
"identifier": "4944A",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "JM011682",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P89197",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLNESS",
"identifier": "10011510005",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.